Dr. TY BOLTON ERICKSON -- MD
Individual Provider (NPI-1)
Active
Obstetrics & Gynecology
Provider Information
- NPI Number
1083783823- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 808 PANCHERI DRIVE, IDAHO FALLS, ID, 834023344
- Phone
- (208) 552-6900
- Fax
- (208) 552-4973
Specialties & Taxonomies
Obstetrics & Gynecology
Primary License: ID #M-6628
Obstetrics & Gynecology
License: UT #6388670-1205
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery
License: ID #M6628
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery
License: UT #6388670-1205