Organization
M. L. ERICKSON, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN L ERICKSON MD (PRESIDENT)
(623) 414-3500
Entity
Organization
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
—
28384
—
AZ
05
—
512774
—
AZ
Enumeration date
03/06/2008
Last updated
01/11/2018
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