Provider Demographics
NPI:1427325042
Name:STRICKLIN, ERIC ALIC (PA-C)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:ALIC
Last Name:STRICKLIN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7725 N ORACLE RD
Mailing Address - Street 2:131
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6986
Mailing Address - Country:US
Mailing Address - Phone:520-544-2273
Mailing Address - Fax:520-544-4227
Practice Address - Street 1:7725 N ORACLE RD
Practice Address - Street 2:131
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85704-6986
Practice Address - Country:US
Practice Address - Phone:520-544-2273
Practice Address - Fax:520-544-4227
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ076678Medicaid
AZ076678Medicaid