Individual provider · Type 1 NPI

Ty Bolton Erickson, MD

Obstetrics & Gynecology Physician · Idaho Falls, ID

NPI number 1083783823 Active

Practice location

808 Pancheri Drive
Idaho Falls, ID 83402-3344

Call (208) 552-6900 Map

Fax (208) 552-4973

Mailing address

2184 Channing Way Pmb #135
Idaho Falls, ID 83404-8034

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XM-6628 (ID)
Obstetrics & Gynecology Physician 207V00000X6388670-1205 (UT)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040XM6628 (ID)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X6388670-1205 (UT)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2 other providers at this address

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About NPI 1083783823

Ty Bolton Erickson, MD's National Provider Identifier is 1083783823, issued on Nov 7, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 9, 2014.