Individual
DR. ALAN SCOTT PICKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1905 HILAND AVE, BURLEY, ID 83318-2714
(208) 678-1355
(208) 678-9312
Mailing address
1905 HILAND AVE, BURLEY, ID 83318-2714
(208) 678-1355
(208) 678-9312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D2016
ID
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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