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Individual

DR. HEATHER RENE PICKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
360 S 1300 W, PLEASANT GROVE, UT 84062-3761
(385) 440-1400
(801) 845-9965
Mailing address
360 S 1300 W, PLEASANT GROVE, UT 84062-3761
(385) 440-1400
(801) 845-9965

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036111670
IL
207Q00000X
Family Medicine Physician
Primary
10903589-1204
UT

Other

Enumeration date
12/05/2005
Last updated
12/23/2020
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