Corey L Ericksen, DO

NPI #1912003922 in Fruit Heights, Utah

Provider Information

NPI Number
1912003922
Entity Type
Individual
Name
Corey L Ericksen, DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
DO
Enumeration Date
Sep 16, 2006
Last Updated
Oct 21, 2019

Practice Location

Address
1762 VIEWCOURT
State
Utah
ZIP Code
84037
Phone
(801) 628-8877

Specialties & Taxonomy Codes

Specialty
Family Medicine

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