Individual
JOHN BRADLEY PICKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BROADWAY, MISSOULA, MT 59802-4008
(406) 542-7525
(406) 829-0661
Mailing address
PO BOX 7817, MISSOULA, MT 59807-7817
(406) 542-7525
(406) 829-0661
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6635
MT
Other
Enumeration date
06/14/2006
Last updated
11/09/2021
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