Individual
MARVIN L ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6370 W UNION HILLS DR, GLENDALE, AZ 85308-7136
(623) 414-3500
(623) 455-9214
Mailing address
6370 W UNION HILLS DR, GLENDALE, AZ 85308-7136
(623) 414-3500
(623) 455-9214
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28384
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512774
—
AZ
Enumeration date
09/23/2005
Last updated
11/13/2017
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