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Individual

SCOTT ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
440 MEDICAL DR, SUITE 4, BOUNTIFUL, UT 84010-4950
(807) 294-8288
(801) 294-8488
Mailing address
SCOTT ERICKSON, 440 MEDICAL DR, BOUNTIFUL, UT 84010-4950
(807) 294-8288
(801) 294-8488

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5836179-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D6126
UT
Enumeration date
07/05/2005
Last updated
03/21/2014
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