Search › Utah › 363A00000X
Jason Erickson, PA-C
NPI 1265999056 · on the registry since 2019
Practice
- Address
- 5848 S Fashion Blvd Ste 110
Salt Lake City, UT 84107 - Phone
- (801) 314-4188
- Fax
- (801) 314-4015
- Clinicians at this address
- 11
Additional practice sites
- 11011 Meridian Ave N Ste 201, Seattle, WA
- 2560 Associated Rd Apt 7, Fullerton, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- UT, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah