Ryan T Ericksen, DO | |
1380 E Medical Center Dr, St George, UT 84790-2123 | |
(435) 251-2730 | |
Not Available |
Full Name | Ryan T Ericksen |
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Gender | Male |
Speciality | Pediatrics |
Location | 1380 E Medical Center Dr, St George, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891958104 | NPI | - | NPPES |
Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
Entity Name | Ou Health Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
Mailing Address | Practice Location Address |
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Ryan T Ericksen, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Ryan T Ericksen, DO 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: (435) 251-2730 |
Austin Healy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 E 100 S Ste 14, St George, UT 84790 Phone: 435-628-8232 Fax: 435-674-7994 | |
Dr. Howard W Sepp Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1739 W Sunset Blvd, St George, UT 84770 Phone: 435-634-6000 Fax: 435-634-6033 | |
Dr. Rajiv J Kaddu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, Suite 3100, St George, UT 84790 Phone: 435-251-2740 | |
Patrick Douglas Carroll, M.D., M.P.H. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 544 S 400 E, St George, UT 84770 Phone: 435-688-2000 | |
Jamie Susanne Vane, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1240 E 100 S Ste 14, St George, UT 84790 Phone: 435-628-8232 Fax: 435-674-7994 | |
Dr. Robert Erick Ridout, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-5200 | |
Mr. James Robert Martin, MPAS Pediatrics Medicare: Medicare Enrolled Practice Location: 1490 E Foremaster Dr, Ste 150, St George, UT 84790 Phone: 435-628-9393 Fax: 435-628-9382 |