Individual
DR. JAMES WILLIAM PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
220 BANNOCK ST, MALAD CITY, ID 83252-5068
(208) 766-2600
(208) 766-4258
Mailing address
220 BANNOCK ST, MALAD CITY, ID 83252-5068
(208) 766-2600
(208) 766-4258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5012
AZ
207Q00000X
Family Medicine Physician
Primary
O-0838
ID
207QB0002X
Obesity Medicine (Family Medicine) Physician
O-0838
ID
Other
Enumeration date
06/04/2007
Last updated
12/29/2025
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