Healthcare Provider Details

I. General information

NPI: 1598924201
Provider Name (Legal Business Name): PAUL MICHAEL PIERCE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6031 E WOODMEN RD STE 310
COLORADO SPRINGS CO
80923-2624
US

IV. Provider business mailing address

6031 E WOODMEN RD STE 310
COLORADO SPRINGS CO
80923-2624
US

V. Phone/Fax

Practice location:
  • Phone: 719-888-6677
  • Fax: 719-888-5080
Mailing address:
  • Phone: 719-888-6677
  • Fax: 719-888-5080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberDR.0063972
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: