Individual
DR. ERIC G ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4403 HARRISON BLVD STE 2600, OGDEN, UT 84403
(801) 387-5620
(801) 387-5625
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9082488-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135981900
—
WY
05
—
87934281
—
CO
Enumeration date
05/22/2007
Last updated
09/29/2021
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