Individual
GUY ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
870 E CRAFTON ST, TAHLEQUAH, OK 74464-3380
(918) 444-4000
Mailing address
PO BOX 211, ENCAMPMENT, WY 82325-0211
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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