ETHAN J ERICKSON

PHOENIX, AZ
NPI1689315426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
ETHAN J ERICKSON MD
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
Mailing Address
ETHAN J ERICKSON MD
4001 N 3RD ST STE 290
PHOENIX, AZ 85012-2071
Phone number: