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NPI Code Detail

MEDICARE: DR. JARED HYRUM PIERSON DC

MEDICARE:  DR. JARED HYRUM PIERSON  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor8422AZ

General Provider Information

NPI Number : 1407283633
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JARED HYRUM PIERSON DC
Provider Business Mailing Address
First Line : 11719 W BOLL BLOOM DR
Second Line :
City : MARANA
State : AZ
Zip : 85653-7864
Country : US
Telephone Number : 602-405-2553
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S DOBSON RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85248-4907
Country : US
Telephone Number : 480-715-6112
Fax Number : 480-715-6481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2013
Last Update Date : 05/08/2018

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Directions to “ DR. JARED HYRUM PIERSON DC” Practice Location

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