Individual
DR. MATTHEW CAMPBELL ERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1155 W PARKVIEW ST, SUITE 2J, BOLIVAR, MO 65613-8279
(417) 328-7000
Mailing address
1801 SE HILLMOOR DR STE B-105, PORT ST LUCIE, FL 34952-7545
(772) 398-9911
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
2012015105
MO
Other
Enumeration date
02/25/2010
Last updated
12/05/2024
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