Individual
DR. ROLLAND P ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
17540
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286882
—
AZ
01
—
86080015085259A098
TRIWEST
AZ
Enumeration date
12/02/2005
Last updated
10/29/2007
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