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NPI Code Detail

MEDICARE: DR. CURTIS ALLEN ERICKSON M.D.

MEDICARE:  DR. CURTIS ALLEN ERICKSON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery Physician21163AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558355222
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CURTIS ALLEN ERICKSON M.D.
Provider Business Mailing Address
First Line : 3805 E. BELL ROAD
Second Line : SUITE 3100
City : PHOENIX
State : AZ
Zip : 85032-2136
Country : US
Telephone Number : 602-867-8644
Fax Number : 602-795-5698
Provider Business Practice Location Address
First Line : 3805 E. BELL ROAD
Second Line : SUITE 3100
City : PHOENIX
State : AZ
Zip : 85032-2136
Country : US
Telephone Number : 602-867-8644
Fax Number : 602-795-5698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 09/22/2023

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