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Individual

DR. THOMAS L ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1780 E FLORENCE BLVD, SUITE 106, CASA GRANDE, AZ 85222-4782
(520) 836-8988
(520) 836-7930
Mailing address
1780 E FLORENCE BLVD, SUITE 106, CASA GRANDE, AZ 85222-4782
(520) 836-8988
(520) 836-7930

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14731
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242008
AZ
Enumeration date
08/24/2005
Last updated
07/09/2010
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