Organization
H ANDREW PICKETT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H. ANDREW PICKETT M.D. (DOCTOR)
(816) 637-8900
Entity
Organization
Contact information
Practice address
1236 N JESSE JAMES RD, EXCELSIOR SPRGS, MO 64024-1119
(816) 637-8900
(816) 637-4011
Mailing address
1236 N JESSE JAMES RD, EXCELSIOR SPRG, MO 64024-1119
(816) 637-8900
(816) 637-4011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6C90
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD2297
MEDICARE RR
MO
Enumeration date
09/07/2007
Last updated
12/28/2007
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