Evan J. Pickus M.D.

NPI 1073545554 - Emergency Medicine - 207P00000X

NPI Details
NPI 1073545554
Gender Male
Enumeration Date 07/07/2006
Last Updated 01/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
310 ELLIS ST
CARTHAGE MS, 39051-3809, US
Phone (601) 740-2785
Fax
Business Location
6424 CENTRAL CITY BLVD APT 534
GALVESTON TX, 77551-8007, US
Phone (601) 740-2785
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Mississippi
License Number 17806
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According to our database, Dr. Evan J. Pickus M.D. NPI is 1073545554, taxonomy code is 207P00000X and license number is 17806, license state is located at Mississippi. Evan J. Pickus M.D. physically located at 310 Ellis St, Carthage MS, 39051-3809. NPI Number Evan J. Pickus M.D. has the Individual type.

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1073545554 NPI number is provided on an as is basis without warranty of any kind. 1073545554 is maintained by the National Plan & Provider Enumeration System. The contents of Evan J. Pickus M.D. are for informational purposes only.