Healthcare Provider Details

I. General information

NPI: 1558355222
Provider Name (Legal Business Name): CURTIS ALLEN ERICKSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 E. BELL ROAD SUITE 3100
PHOENIX AZ
85032-2136
US

IV. Provider business mailing address

3805 E. BELL ROAD SUITE 3100
PHOENIX AZ
85032-2136
US

V. Phone/Fax

Practice location:
  • Phone: 602-867-8644
  • Fax: 602-795-5698
Mailing address:
  • Phone: 602-867-8644
  • Fax: 602-795-5698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number21163
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: