NPI 1447246152

Jay Erickson, MD

Practitioner Family Medicine Physician Twentynine Palms, CA

Practice location

Address: 1458 4th St McAgcc/ Magtftc 7th Marine Regimental Aid Station, Twentynine Palms, CA 92278
Phone: (760) 830-7876
Mailing address: 58342 Ute Trl, Yucca Valley, CA 92284-6176

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 36068 (CO)

Other Family Medicine providers in California →

Registry record

NPI: 1447246152
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2005
Record last updated: 8 Jul 2007

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.