Individual
DR. DALE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7741
Mailing address
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4679
(505) 998-7400
(505) 998-7741
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
71-30
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8110
—
NM
Enumeration date
07/24/2006
Last updated
01/27/2016
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