MR. Gary Pickett, HIS

NPI #1194043687 in North Bend, Oregon

Provider Information

NPI Number
1194043687
Entity Type
Individual
Name
MR. Gary Pickett, HIS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
HIS
Enumeration Date
May 10, 2010
Last Updated
May 10, 2010

Practice Location

Address
2472 BROADWAY
State
Oregon
ZIP Code
97459
Phone
(541) 751-1117

Specialties & Taxonomy Codes

Specialty
Specialist

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