NPI 1225482276 · live from the CMS NPI Registry
Preston Erickson
Psychiatry & Neurology, Neurology in Ogden, UT. National Provider Identifier 1225482276, active.
NPI record
| NPI | 1225482276 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 4403 Harrison Blvd Ste 3855, Ogden, UT 84403 |
| Practice phone | 801-387-7880 |
| Mailing address | Po Box 27128, Salt Lake City, UT 84127 |
| Enumerated | April 15, 2016 |
| Last updated | June 8, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 10507907-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.