Individual
ERIK EARL BERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6036 N 19TH AVE # 520, PHOENIX, AZ 85015-2106
(602) 589-0500
(602) 589-0198
Mailing address
PO BOX 94568, PHOENIX, AZ 85070-4568
(480) 361-7680
(480) 361-7683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1433
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830853
—
AZ
01
—
Z79728
MEDICARE
AZ
Enumeration date
04/02/2008
Last updated
04/02/2008
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