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Dr. Matthew Campbell Ericksen, DO
Otolaryngology/Facial Plastic Surgery Physician in Bolivar, Missouri
NPI 1285956797

Matthew Campbell Ericksen is a Otolaryngology/Facial Plastic Surgery Physician based in Port St Lucie, MO and is specialized in Otolaryngology/Facial Plastic Surgery. Matthew Campbell Ericksen practices in Bolivar, MO and has the professional credentials of DO. The NPI Number for Matthew Campbell Ericksen is 1285956797 and holds a License No. 2012015105 (Missouri).

The current practice location address for Matthew Campbell Ericksen is 1155 W Parkview St, Bolivar, MO and can be reached out via phone at 417-328-7000.

Location: 1155 W Parkview St, Bolivar, MO, 34952-7545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285956797
Provider Name
Matthew Campbell Ericksen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1155 W Parkview St, Bolivar, MO, 34952-7545
Phone Number
417-328-7000
Fax Number
Provider Enumeration Date
02/25/2010
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
1155 W Parkview St
City
Bolivar
State
Missouri
Zip
65613-8279
Phone Number
417-328-7000
Fax Number
person
Provider Business Mailing Address Details
Address
1155 W Parkview St
City
Bolivar
State
Missouri
Zip
65613-8279
Phone Number
417-328-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
2012015105 (Missouri)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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