Individual
PATRICK R. PICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8303 DODGE ST, SUITE 304, OMAHA, NE 68114-4108
(402) 354-5048
(402) 354-2585
Mailing address
PO BOX 10190, VIRGINIA BEACH, VA 23450-0190
(800) 477-5240
(757) 216-1638
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2019
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025044400
—
NE
05
—
117492044
—
IA
Enumeration date
12/02/2014
Last updated
08/05/2016
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