Ryan T Ericksen, D.O.
Hospitalist in St George, UT. Individual provider (NPI-1).
NPI number1891958104
StatusActive
Last updated in NPPESJan 8, 2026
Details
- NPI
- 1891958104
- Entity type
- Individual (NPI-1)
- Name
- Ryan T Ericksen
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2008
- Certification date
- Jan 8, 2026
- Last updated
- Jan 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 12855169-1204 | UT | Yes |
| 208000000X | Pediatrics | 12855169-1204 | UT | |
| 208000000X | Pediatrics | 5072 | OK | |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 5072 | OK |
Practice location
1380 E Medical Center DrSt George, UT 84790-2123
Phone 435-251-2730
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Fax 405-271-2421
Other practice locations
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