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1952508186
ERIK LILLEGRAVEN ORTEGA
PHOENIX, AZ
NPI
1952508186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: AZ 42039)
Enumeration Date
2007-06-29
Last Update Date
2023-05-02
Business Address
ERIK LILLEGRAVEN ORTEGA M.D.
240 W THOMAS RD STE 400
PHOENIX, AZ 85013-4407
Phone number: 602-406-6262
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Mailing Address
ERIK LILLEGRAVEN ORTEGA M.D.
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number: 602-406-4786
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