Most Relevant Information
Provider Data
| NPI Number: | 1003349564 |
| Provider Name: | TIFFANI ERICKSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2017 |
| Last Updated: | 05/25/2021 |
Provider Practice Location
4200 WISCONSIN AVE NW STE 4
WASHINGTON
DC
200162143
Practice Location Phone/Fax
| Phone: | 2022950544 |
| Fax: | 8775447752 |
Provider Mailing Location
4200 WISCONSIN AVE NW STE 4
WASHINGTON
DC
200162143
Provider Mailing Phone/Fax
| Phone: | 2022950544 |
| Fax: | 8775447752 |