Provider Demographics
NPI:1265708416
Name:CONTRERAS, ERIK PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:PAUL
Last Name:CONTRERAS
Suffix:
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:PO BOX 20610
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85277-0610
Mailing Address - Country:US
Mailing Address - Phone:928-237-9800
Mailing Address - Fax:928-237-9924
Practice Address - Street 1:214 N MCCORMICK ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-2706
Practice Address - Country:US
Practice Address - Phone:928-237-9800
Practice Address - Fax:928-237-9924
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-31
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ50412207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine