NPI 1083783823

Ty Bolton Erickson, MD

Practitioner Obstetrics & Gynecology Physician Idaho Falls, ID

Practice location

Address: 808 Pancheri Drive, Idaho Falls, ID 83402-3344
Phone: (208) 552-6900
Fax: (208) 552-4973
Mailing address: 2184 Channing Way Pmb #135, Idaho Falls, ID 83404-8034

Registered specialties (4)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence M-6628 (ID)

Other Obstetrics & Gynecology providers in Idaho →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 6388670-1205 (UT)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207VF0040X Licence M6628 (ID)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207VF0040X Licence 6388670-1205 (UT)

Registry record

NPI: 1083783823
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2006
Record last updated: 9 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.