Individual
ERIC HONAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
18555 N 79TH AVE STE D101, GLENDALE, AZ 85308-6040
(480) 563-6400
(480) 563-8009
Mailing address
PO BOX 6408, SCOTTSDALE, AZ 85261-6408
(480) 563-6400
(480) 563-8009
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8005
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2020
Last updated
04/27/2021
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