DR. Ty Bolton Erickson, MD

NPI #1083783823 in Idaho Falls, Idaho

Provider Information

NPI Number: 1083783823
Entity Type: Individual
Name: DR. Ty Bolton Erickson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: MD
Enumeration Date: Nov 7, 2006
Last Updated: Sep 9, 2014

Practice Location

Address: 808 PANCHERI DRIVE
City: Idaho Falls
State: Idaho
ZIP Code: 83402-3344
Phone: (208) 552-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery	207VF0040X

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