Provider Demographics
NPI:1538572482
Name:CLAUSON, ERIK RICHARD (DO)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:RICHARD
Last Name:CLAUSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 S ALLYSON PL
Mailing Address - Street 2:
Mailing Address - City:VASS
Mailing Address - State:NC
Mailing Address - Zip Code:28394-7521
Mailing Address - Country:US
Mailing Address - Phone:850-502-1407
Mailing Address - Fax:
Practice Address - Street 1:412 S JONES ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-7261
Practice Address - Country:US
Practice Address - Phone:910-521-4462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR4679207QS0010X
NC2023-03283207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine