Individual
DR. GREG DANIEL PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5000
(580) 379-5509
Mailing address
304 S PARK LN, ALTUS, OK 73521-5753
(580) 379-6500
(580) 379-6509
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4548
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200116570A
—
OK
Enumeration date
04/19/2006
Last updated
08/24/2022
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