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MS. MARY MELINDA ERICSON P.A.

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

Provider NPI: 1811931397

Provider Information:
MS. MARY MELINDA ERICSON P.A.
Gender: F
Not Sole Proprietor

Practice Location:
3721 E US 412 HWY STE B  SILOAM SPRINGS, AR 72761-3018 US
Tel: 479-215-3080  Fax: 479-549-4059

Business Mailing Address:
3721 E US 412 HWY STE B  SILOAM SPRINGS, AR 72761-3018 US
Tel: 479-215-3080  Fax: 479-549-4059

NPI Information:
NPI: 1811931397
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
ARPA-220

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363AM0700X

Type:

Classification:



Definition:



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