Dr JED HOLBROOK ERICKSON is a male medical professional, specializing in Podiatry. He graduated in 2014.
KYLIN KOVAC DPM PLLC
1540 ELK CREEK DR
IDAHO FALLS
ID
834048322
Tel: 2085298393
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 |
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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 |
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Professional Accepts Medicare Assignment | Y |
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