Individual
TIMOTHY PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5097 S 900 E STE 100, SALT LAKE CTY, UT 84117-5725
(801) 851-5554
Mailing address
5097 S 900 E STE 100, SALT LAKE CTY, UT 84117-5725
(801) 851-5554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4908815-1206
UT
Other
Enumeration date
08/06/2014
Last updated
11/28/2023
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