Individual
CLIFF PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
6946 SILVERWIND CIR, COLORADO SPRINGS, CO 80923-6404
(719) 685-9338
Mailing address
6946 SILVERWIND CIR, COLORADO SPRINGS, CO 80923-6404
(719) 685-9338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA2676
MS
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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