Search › Idaho › 207V00000X
Ty Erickson, MD
NPI 1083783823 · on the registry since 2006
Practice
- Address
- 808 Pancheri Drive
Idaho Falls, ID 83402 - Phone
- (208) 552-6900
- Fax
- (208) 552-4973
- Organisation at this address
- Angel Wings Center Of Healing
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
207VF0040X
207VF0040X - Licence states on file
- ID, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho