TIMOTHY D ERICKSON

RIO RANCHO, NM
NPI1447364724
Former NameTIMOTHY ROLLIN ERICKSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2006-0017)
Enumeration Date2006-08-17
Last Update Date2024-06-18
Business Address
Mr. TIMOTHY D ERICKSON PA-C
PRESBYTERIAN RUST MEDICAL CENTER 2400 UNSER BLVD SE STE 19100
RIO RANCHO, NM 87124-4740
Phone number: 505-823-8777
Mailing Address
Mr. TIMOTHY D ERICKSON PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-823-8777
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