JAY T ERICKSON

BISMARCK, ND
NPI1992896864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  R22465)
Enumeration Date2006-09-27
Last Update Date2007-09-04
Business Address
-- JAY T ERICKSON CRNA
300 N 7TH ST
BISMARCK, ND 58501-4439
Phone number: 701-323-6000
Mailing Address
-- JAY T ERICKSON CRNA
PO BOX 5501
BISMARCK, ND 58506-5501
Phone number: 701-323-6000