Individual
ERIC RICHARD DOCKTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3723 W 12600 S, SUITE 460, RIVERTON, UT 84065-7295
(801) 285-4650
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 285-4650
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9715459-1205
UT
207X00000X
Orthopaedic Surgery Physician
A135595
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
9715459-1205
UT
Other
Enumeration date
06/15/2010
Last updated
09/02/2016
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