Individual
MRS. JILL A. ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
590 WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7100
Mailing address
PO BOX 58108, SALT LAKE CITY, UT 84158-0108
(801) 581-3998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
377159-1206
UT
Other
Enumeration date
10/13/2006
Last updated
10/25/2021
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