Mallory L Pickford
Mallory L Pickford is a Radiology Clinic/Center in St Petersburg, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
6101 Central AveSt Petersburg, FL 33710-8529
Phone: (727) 381-4674
Fax: (727) 341-1182
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Specialties & licences
| Radiology Clinic/Center (primary) | Taxonomy 261QR0200X |
|---|
Record details
| NPI number | 1376258814 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2023 |
| Last updated in NPPES | January 19, 2023 |
| Certification date | January 19, 2023 |
| Mailing address | 10800 Brighton Bay Blvd Ne, St Petersburg, FL 33716-3478 |
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