Individual
DR. MALRY FOSTER ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1452 N HIGLEY RD, STE 101, GILBERT, AZ 85234-1610
(480) 374-3451
Mailing address
21001 N TATUM BLVD, STE 1630-431, PHOENIX, AZ 85050-4206
(480) 375-3451
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37280
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454486
—
AZ
Enumeration date
06/19/2008
Last updated
01/05/2016
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