MS. Mary Melinda Ericson, P.A.
NPI #1811931397 in Siloam Springs, Arkansas
Provider Information
- NPI Number
- 1811931397
- Entity Type
- Individual
- Name
- MS. Mary Melinda Ericson, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Apr 15, 2019
Practice Location
- Address
- 3721 E US 412 HWY STE B
- City
- Siloam Springs
- State
- Arkansas
- ZIP Code
- 72761-3018
- Phone
- (479) 215-3080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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