JAY ERICKSON

TWENTYNINE PALMS, CA
NPI1447246152
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CO  36068)
Enumeration Date2005-09-27
Last Update Date2007-07-08
Business Address
Dr. JAY ERICKSON MD
1458 4TH ST MCAGCC/ MAGTFTC 7TH MARINE REGIMENTAL AID STATION
TWENTYNINE PALMS, CA 92278
Phone number: 760-830-7876
Mailing Address
Dr. JAY ERICKSON MD
58342 UTE TRL
YUCCA VALLEY, CA 92284-6176
Phone number: 760-228-5865
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