Individual
JOHN JAMES PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 329-5825
(406) 329-5864
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 329-5828
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12023
MT
Other
Enumeration date
02/06/2007
Last updated
11/09/2021
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