Individual
ERIC J EROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8415 N PIMA RD STE 175, SCOTTSDALE, AZ 85258-4484
(480) 961-2365
(480) 961-2382
Mailing address
4505 E CHANDLER BLVD STE 200, PHOENIX, AZ 85048-7688
(480) 961-2365
(480) 961-2382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3626
AZ
2084N0400X
Neurology Physician
Primary
3626
AZ
2084P0800X
Psychiatry Physician
3626
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3626
LICENSE NUMBER
AZ
05
—
568462
—
AZ
Enumeration date
12/14/2006
Last updated
05/06/2026
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