Individual
JARED ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
991 SHEPARD LN STE 200, FARMINGTON, UT 84025-2974
(801) 397-6260
(801) 397-6262
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7760523-1206
UT
Other
Enumeration date
10/21/2015
Last updated
09/17/2025
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