Individual
PRESTON ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4403 HARRISON BLVD STE 3855, OGDEN, UT 84403-3349
(801) 387-7880
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10507907-1205
UT
Other
Enumeration date
04/15/2016
Last updated
06/08/2020
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