Individual
DR. EVAN J. PICKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 ELLIS ST, CARTHAGE, MS 39051-3809
(601) 740-2785
Mailing address
6424 CENTRAL CITY BLVD APT 534, GALVESTON, TX 77551-8007
(601) 740-2785
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17806
MS
208200000X
Plastic Surgery Physician
Primary
17806
MS
Other
Enumeration date
07/07/2006
Last updated
12/30/2020
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