NPI 1114207917

Jed H Erickson, DPM

Practitioner Foot & Ankle Surgery Podiatrist Caldwell, ID

Practice location

Address: 1818 S 10th Ave Suite 250, Caldwell, ID 83605-4803
Phone: (208) 855-8588
Fax: (208) 459-8628

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence P229 (ID)

Other Podiatrist providers in Idaho →

Registry record

NPI: 1114207917
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2011
Record last updated: 6 Mar 2019

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.