| Scott A Erickson Md, Pc | |
|
440 Medical Dr Suite 4 Bountiful UT 84010-4950 | |
| (801) 294-8288 | |
| (801) 294-8488 |
| Full Name | Scott A Erickson Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 440 Medical Dr, Bountiful, Utah |
| Authorized Official Name and Position | Scott A Erickson (MEDICAL DOCTOR) |
| Authorized Official Contact | 8012948288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott A Erickson Md, Pc 440 Medical Dr Suite 4 Bountiful UT 84010-4950 Ph: (801) 294-8288 | Scott A Erickson Md, Pc 440 Medical Dr Suite 4 Bountiful UT 84010-4950 Ph: (801) 294-8288 |
| NPI Number | 1972500882 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 03/21/2014 |
| Medicare PECOS PAC ID | 7113958174 |
|---|---|
| Medicare Enrollment ID | O20050830000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972500882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5836179-1205 (Utah) | Primary |
| Provider Name | Scott Austin Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780681775 PECOS PAC ID: 7517957780 Enrollment ID: I20050928000399 |
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