Individual
DR. RUSSELL W PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
10900 MANCHESTER RD, SUITE #202, KIRKWOOD, MO 63122-1200
(314) 835-9996
(314) 835-9992
Mailing address
10900 MANCHESTER RD, SUITE #202, KIRKWOOD, MO 63122-1200
(314) 835-9996
(314) 835-9992
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
110299
MO
Other
Enumeration date
07/15/2006
Last updated
10/18/2012
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