Individual
MR. GENE K. ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS, ACA
Contact information
Practice address
1423 S HIGLEY RD STE 119, MESA, AZ 85206-3450
(480) 495-0626
(480) 985-7198
Mailing address
1423 S HIGLEY RD STE 119, MESA, AZ 85206-3450
(480) 495-0626
(480) 985-7198
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
1532
AZ
237700000X
Hearing Instrument Specialist
Primary
HAD1532
AZ
261QH0700X
Hearing and Speech Clinic/Center
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1532
DISPENSING LICENSE #
AZ
Enumeration date
06/03/2007
Last updated
05/12/2021
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