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NPI Code Detail

MEDICARE: DAVID GORDON PIERCE DC

MEDICARE: DAVID GORDON PIERCE 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
1111N00000XChiropractor931759851201UT

General Provider Information

NPI Number : 1639234529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GORDON PIERCE DC
Provider Business Mailing Address
First Line : PO BOX 971
Second Line :
City : AMERICAN FORK
State : UT
Zip : 84003-0971
Country : US
Telephone Number : 801-763-8662
Fax Number : 801-763-8664
Provider Business Practice Location Address
First Line : 5337 W 11000 N
Second Line :
City : HIGHLAND
State : UT
Zip : 84003-9403
Country : US
Telephone Number : 801-763-8662
Fax Number : 801-763-8664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 02/03/2014

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Directions to “ DAVID GORDON PIERCE DC” Practice Location

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