ERICKSON SURGICAL CONSULTING PLLC NPI 1558676957

NPI Information

ERICKSON SURGICAL CONSULTING PLLC is an obstetrics gynecology in Sandy, UT. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ERICKSON SURGICAL CONSULTING PLLC NPI is 1558676957. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10011 CENTENNIAL PKWY
SUITE 150
SANDY, UT
ZIP 84070-156
Phone: (801) 727-2672
Fax: (801) 727-2682

The provider's authorized official is Ty Bolton Erickson .
The authorized official title is M.d and has the following contact phone number (801) 727-2672.

The enumeration date for this NPI number is 8/10/2010 and was last updated on 10/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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