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Dr. Ty Bolton Erickson, MD
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in Idaho Falls, Idaho
NPI 1083783823

Ty Bolton Erickson is a Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician based in Idaho Falls, ID and is specialized in Female Pelvic Medicine and Reconstructive Surgery. Ty Bolton Erickson practices in Idaho Falls, ID and has the professional credentials of MD. The NPI Number for Ty Bolton Erickson is 1083783823 and holds a License No. M-6628 (Idaho).

The current practice location address for Ty Bolton Erickson is 808 Pancheri Drive, Idaho Falls, ID and can be reached out via phone at 208-552-6900 and via fax at 208-552-4973. You can also correspond with Ty Bolton Erickson through the mailing address at 2184 CHANNING WAY PMB #135, IDAHO FALLS, ID - 83404-8034 (mailing address contact number: 208-552-6914).

Location: 808 Pancheri Drive, Idaho Falls, ID, 83404-8034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083783823
Provider Name
Ty Bolton Erickson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
808 Pancheri Drive, Idaho Falls, ID, 83404-8034
Phone Number
208-552-6900
Fax Number
208-552-4973
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003678800 05 ID
institution
Provider Business Practice Location Address Details
Address
808 Pancheri Drive
City
Idaho Falls
State
Idaho
Zip
83402-3344
Phone Number
208-552-6900
Fax Number
208-552-4973
person
Provider Business Mailing Address Details
Address
808 Pancheri Drive
City
Idaho Falls
State
Idaho
Zip
83402-3344
Phone Number
208-552-6900
Fax Number
208-552-4973
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
6388670-1205 (Utah)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Female Pelvic Medicine and Reconstructive Surgery
Taxonomy
207VF0040X
License No.
M-6628 (Idaho)
Definition
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
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