Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2012003495 | MO |
N | 111NI0900X | Internist | 2012003495 | MO |
Y | 207RC0200X | Critical Care Medicine | 2012003495 | MO |
N | 207RP1001X | Pulmonary Disease | 2012003495 | MO |
NPI | 1013228873 |
---|---|
Provider Name | Dr. David M Picker |
First Address | Saint Louis, MO 63104 |
Second Address | Saint Louis, MO 63104-1004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2010 |
Last Update Date | 30/05/2018 |