Most Relevant Information
Provider Data
| NPI Number: | 1003211822 |
| Provider Name: | ERICA VICE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 332B00000X |
| Specialty: | Durable Medical Equipment & Medical Supplies |
| License Number: | 7209350001 |
Most Important Dates
| Enumeration Date: | 10/23/2014 |
| Last Updated: | 03/26/2024 |
Provider Practice Location
1277 E MISSOURI AVE STE 101
PHOENIX
AZ
850142916
Practice Location Phone/Fax
| Phone: | 6022964060 |
| Fax: | 6022964146 |
Provider Mailing Location
1839 S ALMA SCHOOL RD STE 354
MESA
AZ
852103028
Provider Mailing Phone/Fax
| Phone: | 4807262287 |
| Fax: | 8885033312 |