Individual
DR. GRANT BRYAN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
DEPT VASCULAR SURGEY, 30 NORTH 1900 EAST, ROOM 3C 344 SOM, SALT LAKE CITY, UT 84132-0001
(801) 581-8301
(801) 581-3433
Mailing address
DEPT VASCULAR SURGEY, 30 NORTH 1900 EAST, ROOM 3C 344 SOM, SALT LAKE CITY, UT 84132-0001
(801) 581-8301
(801) 581-3433
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
6916493-1205
UT
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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