JED HOLBROOK ERICKSON

KYLIN KOVAC DPM PLLC

Dr JED HOLBROOK ERICKSON is a male medical professional, specializing in Podiatry. He graduated in 2014.

Contact

KYLIN KOVAC DPM PLLC

1540 ELK CREEK DR
IDAHO FALLS
ID
834048322

Tel: 2085298393

JED HOLBROOK ERICKSON Information

Npi 1114207917
Pac Id 5395969679
Professional Enrollment Id I20140605001921
Last Name ERICKSON
First Name JED
Middle Name HOLBROOK
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KYLIN KOVAC DPM PLLC
Group Practice Pac Id 4284873480
Number Of Group Practice Members 2
Line 1 Street Address 1540 ELK CREEK DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834048322
Phone Number 2085298393
Hospital Affiliation Ccn 1 130014
Hospital Affiliation Lbn 1 WEST VALLEY MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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