Individual
NEIL LOUIS ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DABCO CCSP
Contact information
Practice address
169 N GATEWAY DR STE 223, PROVIDENCE, UT 84332-9856
(435) 752-2772
(435) 752-2878
Mailing address
169 N GATEWAY DR STE 223, PROVIDENCE, UT 84332-9856
(435) 752-2772
(435) 752-2878
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
83-169476-1202
UT
Other
Enumeration date
06/22/2006
Last updated
05/20/2020
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