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1164927133
DALLIN T ERICKSON
OGDEN, UT
NPI
1164927133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 12302759-1204)
Enumeration Date
2018-03-29
Last Update Date
2021-06-15
Business Address
DALLIN T ERICKSON DO
5740 CRESTWOOD DR
OGDEN, UT 84405-4869
Phone number: 801-479-7771
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Mailing Address
DALLIN T ERICKSON DO
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3500
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