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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TY BOLTON ERICKSON, MD

Active

DR. TY BOLTON ERICKSON, MD is a Obstetrics & Gynecology healthcare provider located in IDAHO FALLS, Idaho. NPI 1083783823 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · IDAHO FALLS, ID

Registration Details

NPI Number
1083783823
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2006 (19.800872004855 yrs)
Last Updated
Sep 9, 2014
Licenses
M-6628 (ID)
6388670-1205 (UT)
M6628 (ID)
6388670-1205 (UT)

Practice Information

Address
808 PANCHERI DRIVE
IDAHO FALLS, ID, 834023344
Browse ID providers · Browse ZIP 83402
Phone
2085526900
Fax
2085524973
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Female Pelvic Medicine
Additional Specialty
Female Pelvic Medicine

Other Obstetrics & Gynecology Providers in IDAHO FALLS, ID

Name Credential NPI
DR. GLENN RALPH LEAVITT DO 1386644318
MATTHEW ROBISON DO 1194757393
MS. MARGARET C HUGGINS MD 1215040480
DR. R. DOUGLAS ISBELL M.D. 1750490546
DR. JAMES MICHAEL OLDROYD M D 1992897268
STEVEN W ROBISON MD 1710056577
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.