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Individual

TIFFANY L PICKUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7794 5 MILE RD, SUITE 240, CINCINNATI, OH 45230-2368
(513) 231-1575
(513) 232-8490
Mailing address
7794 5 MILE RD, SUITE 240, CINCINNATI, OH 45230-2368
(513) 231-1575
(513) 232-8490

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35095319
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000674141
ANTHEM
OH
Enumeration date
05/25/2007
Last updated
02/27/2023
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