Individual
THOMAS M PICKLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 CLARK ST, CAMBRIDGE, OH 43725-9611
(740) 439-8997
(740) 439-8996
Mailing address
1350 CLARK ST, CAMBRIDGE, OH 43725-9614
(740) 439-0733
(740) 439-8996
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35063543
OH
208800000X
Urology Physician
MD057848L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000137273
ANTHEM
OH
05
—
0959904
—
OH
01
—
1900234
UNITED HEALTH CARE
OH
01
—
1900410
UNITED HEALTH CARE
OH
01
—
1900532
UNITED HEALTH CARE
OH
01
—
340010224
PALMETTO GBA RAILROAD MED
GA
01
—
53865
QUALCHOICE
OH
01
—
PI817202
HIGHMARK
PA
Enumeration date
08/01/2006
Last updated
08/14/2008
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