Individual
GORDON TODD ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5820 E 2ND ST, CASPER, WY 82609-4308
(307) 234-9037
(307) 234-9042
Mailing address
5820 E 2ND ST, CASPER, WY 82609-4308
(307) 234-9037
(307) 234-9042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
501
WY
Other
Enumeration date
09/20/2010
Last updated
03/31/2016
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