Provider Demographics
NPI:1083001242
Name:ARELLANO, ERIK SR (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:
Last Name:ARELLANO
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10524 E HIGHWAY 92
Mailing Address - Street 2:
Mailing Address - City:HEREFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85615-8371
Mailing Address - Country:US
Mailing Address - Phone:520-366-0300
Mailing Address - Fax:520-366-0440
Practice Address - Street 1:10524 E HIGHWAY 92
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:AZ
Practice Address - Zip Code:85615-8371
Practice Address - Country:US
Practice Address - Phone:520-366-0300
Practice Address - Fax:520-366-0440
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2017-0949207Q00000X
AZ57428207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine