Organization
JOEL S. ERICKSON, M.D., INC.
Active
Other names
Laser Light Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL S. ERICKSON M.D. (PRESIDENT)
(415) 892-9550
Entity
Organization
Contact information
Practice address
165 ROWLAND WAY STE 212, NOVATO, CA 94945-5055
(415) 892-9550
Mailing address
165 ROWLAND WAY STE 212, NOVATO, CA 94945-5055
(415) 892-9550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G54218
CA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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