| Doctor Name: | DR. DOUGLAS RAYMOND PICK |
| NPI Number: | 1215066741 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS |
| License Number: | |
| Business Practice Address: | 1250 Nw 142nd St Ste 201 Clive, IA - 503258346 |
| Business Phone Number: | 5152220505 |
| Business Fax Number: | 5152229942 |
| Mailing Address: | 1250 Nw 142nd St, Ste 201 CLIVE |
| State: | IA |
| Postal Code: | 503258346 |
| Phone Number: | 5152220505 |
| Fax Number: | 5152229942 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 06/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |