Individual provider · Type 1 NPI
Mary Melinda Ericson, P.A.
Medical Physician Assistant · Siloam Springs, AR
NPI number
1811931397
Active
Practice location
3721 E US 412 Hwy Ste B
Siloam Springs, AR 72761-3018
Fax (479) 549-4059
Other practice locations
- 2012 S Promenade Blvd, Rogers, AR 72758-9073 · (479) 616-1485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-220 (AR) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Siloam Springs
About NPI 1811931397
Mary Melinda Ericson, P.A.'s National Provider Identifier is 1811931397, issued on Jun 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Siloam Springs, AR. The record was last updated on Apr 15, 2019.