Individual
THOMAS BARTLEY PICKRON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7124
(801) 585-1520
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7124
(801) 585-1520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M2017
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
93632391205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175928401
—
TX
Enumeration date
03/10/2006
Last updated
11/11/2021
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