Individual
ERICKSON UY LIWANAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
1155 MILL ST MS M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-4196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12872
NV
208M00000X
Hospitalist Physician
Primary
12872
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11933941
CAQH
NV
05
—
1255539284
—
NV
Enumeration date
07/11/2007
Last updated
05/20/2021
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