SELWYN PICKER INC
Medical Practice at New Ballas Rd, Saint Louis, MO

License number
Missouri 36202
Category
Medical Practice
Type
Neurological Surgery
Owner
Name: SELWYN PICKER MD
Title: PRESIDENT
Phone: (314) 251-6267
Address
Address
621 S New Ballas Rd SUITE 310A, Saint Louis, MO 63141
National Provider ID: 1083676290
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SELWYN PICKER, INC

621 S New Ballas Rd #310A, Saint Louis, MO 63141

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Selwyn Picker
Registration:
Jan 30, 1995
State ID:
00406591
Business type:
Gen. Business - For Profit
Expiration:
Perpetual
Office Managers:
Selwyn Picker (Medical Doctor),Debra C. Buffa (Office Manager),Mary Fahey (Office Manager)
Agent:
Selwyn Picker Md,621 S New Ballas #310A, Saint Louis, MO 63141 (Physical)

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