Individual
MISS JULIA PATRICIA PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 TAVERN RD, SUITE 100, MARTINSBURG, WV 25401-2864
(304) 267-9355
(304) 267-9358
Mailing address
1000 TAVERN RD, SUITE100, MARTINSBURG, WV 25401-2864
(304) 267-9355
(304) 267-9358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21717
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9930421
MEDICARE GROUP NUMBER
WV
01
—
C10269
RAILROAD GROUP
WV
01
—
P00232554
RAILROAD MEDICARE
WV
Enumeration date
06/08/2006
Last updated
08/29/2013
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