Organization
SELWYN PICKER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELWYN PICKER MD (PRESIDENT)
(314) 251-6267
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 310A, SAINT LOUIS, MO 63141-8232
(314) 251-6267
(314) 251-5871
Mailing address
621 S NEW BALLAS RD, SUITE 310A, SAINT LOUIS, MO 63141-8232
(314) 251-6267
(314) 251-5871
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
36202
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600012
UNITED HEALTHCARE
MO
01
—
131961
HEALTHLINK
MO
01
—
25715
BLUE CROSS BLUE SHIELD
MO
01
—
3175711001
CIGNA
MO
01
—
34211
GROUP HEALTH PLAN
MO
Enumeration date
04/04/2006
Last updated
08/22/2020
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