Individual
THOMAS RICHARD PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7770
(740) 383-7848
Mailing address
# L-3652, COLUMBUS, OH 43260-6453
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071609
—
OH
Enumeration date
10/02/2006
Last updated
10/23/2015
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