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SELWYN PICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
621 S NEW BALLAS RD, SUITE 310A, SAINT LOUIS, MO 63141-8232
(314) 251-6267
(314) 251-5871
Mailing address
621 S NEW BALLAS RD, SUITE 310A, SAINT LOUIS, MO 63141-8232
(314) 251-6267
(314) 251-5871

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
36202
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0600012
UNITED HEALTHCARE
MO
01
131961
HEALTHLINK
MO
01
140003858
RAILROAD MEDICARE
MO
01
25715
BLUE CROSS BLUE SHIELD
MO
01
3175711001
CIGNA
MO
01
34211
GROUP HEALTH PLAN
MO
Enumeration date
04/04/2006
Last updated
01/10/2019
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