Individual
DR. ANDREW T PICKENS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 S BRENTWOOD BLVD, SUITE 500, ST LOUIS, MO 63117
(314) 727-2700
(314) 727-2773
Mailing address
1034 S BRENTWOOD BLVD, SUITE 500, ST LOUIS, MO 63117
(314) 727-2700
(314) 727-2773
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32150
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015011
EXCLUSIVE CHOICE
—
01
—
102091
HEALTHLINK
—
01
—
10742
BLUE CROSS BLUE SHIELD
MO
01
—
154119
UNITED HEALTHCARE
—
01
—
57158
CMR
—
01
—
A10290
MERCY HEALTH PLANS
—
Enumeration date
09/26/2006
Last updated
07/08/2007
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