Individual
MR. STEVEN MAYNARD ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 N. 10TH STREET, SUITE B, BANNER CONCUSSION CENTER, PHOENIX, AZ 85006
(602) 839-7285
(602) 839-7272
Mailing address
1320 N. 10TH STREET, SUITE B, BANNER CONCUSSION CENTER, PHOENIX, AZ 85006
(602) 839-7285
(602) 839-7272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23040
AZ
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
23040
AZ
Other
Enumeration date
03/31/2006
Last updated
06/06/2013
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