# SCOTT A ERICKSON MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972500882
- **Authorized official:** SCOTT A ERICKSON MD (MEDICAL DOCTOR)
- **Authorized official phone:** (801) 294-8288

## Contact information

- **Practice address:** 440 MEDICAL DR STE 4, BOUNTIFUL, UT 84010-4951
- **Practice address phone:** (801) 294-8288
- **Practice address fax:** (801) 294-8488
- **Mailing address:** 440 MEDICAL DR, SUITE 4, BOUNTIFUL, UT 84010-4950
- **Mailing address phone:** (801) 294-8288
- **Mailing address fax:** (801) 294-8488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 01/15/2025