DR. Mark D Erickstad, M.D.

NPI #1972570307 in Longview, Texas

Provider Information

NPI Number: 1972570307
Entity Type: Individual
Name: DR. Mark D Erickstad, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Mar 3, 2006
Last Updated: May 18, 2015

Practice Location

Address: 802 MEDICAL DR
Address 2: SUITE 400
City: Longview
State: Texas
ZIP Code: 75605-5100
Phone: (903) 757-7871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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