Individual
STEPHEN J ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4824 MCMAHON BLVD NW, SUITE 115, ALBUQUERQUE, NM 87114-5412
(505) 792-2815
(505) 792-2812
Mailing address
3447 CORRALES RD, CORRALES, NM 87048-9137
(505) 890-0287
(505) 792-2812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87-180
NM
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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