Mary Melinda Ericson in Siloam Springs - Medical
Mary Melinda Ericson - NPI 1811931397
Mary Melinda Ericson is a Medical in Siloam Springs, Arkansas. Mary Melinda Ericson practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary Melinda Ericson is 1811931397. The last update date is 2019-04-15.
Mary Melinda Ericson's current location address is 3721 E Us 412 Hwy Ste B, Siloam Springs, Arkansas. You can contact this provider via phone number 4792153080 and fax number 4795494059. The mailing address for Mary Melinda Ericson is 3721 E Us 412 Hwy Ste B, Siloam Springs, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Melinda Ericson |
|---|---|
| Address | 3721 E Us 412 Hwy Ste B, Siloam Springs, Arkansas |
| Phone Number | 4792153080 |
| Fax Number | 4795494059 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1811931397 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2019-04-15 |
Provider Mailing Address Detail
| Address | 3721 E Us 412 Hwy Ste B |
|---|---|
| City | Siloam Springs |
| State | Arkansas (AR) |
| Post Code | 727613018 |
| Phone Number | 4792153080 |
| Fax Number | 4795494059 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA-220 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Mary Melinda Ericson's unique identification number?
The Mary Melinda Ericson has been assigned the NPI (National Provider Identifier) Number 1811931397 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Mary Melinda Ericson is physically located?
The Mary Melinda Ericson is physically situated at the following address: 3721 E Us 412 Hwy Ste B, Siloam Springs, AR, 727613018.
What is Mary Melinda Ericson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Melinda Ericson is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Mary Melinda Ericson receive its 1811931397 assignment from the Centers for Medicare & Medicaid Services?
The Mary Melinda Ericson was assigned its 1811931397 by the Centers for Medicare & Medicaid Services on 2006-06-15.
As of what date were the Mary Melinda Ericson's details last updated?
The information pertaining to the Mary Melinda Ericson, including its address, specialty, and other details, was most recently updated on 2019-04-15.