Individual provider · Type 1 NPI

Matthew Campbell Ericksen, DO

Otolaryngology/Facial Plastic Surgery Physician · Bolivar, MO

NPI number 1285956797 Active

Practice location

1155 W Parkview St, Suite 2J
Bolivar, MO 65613-8279

Call (417) 328-7000 Map

Mailing address

1801 SE Hillmoor Dr Ste B-105
Port St. Lucie, FL 34952-7545

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905X2012015105 (MO)

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

10 other providers at this address

About NPI 1285956797

Matthew Campbell Ericksen, DO's National Provider Identifier is 1285956797, issued on Feb 25, 2010. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Bolivar, MO. The record was last updated on Dec 5, 2024.