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NPI Code Detail

MEDICARE: DAVID M PEARCE MPT

MEDICARE:   DAVID M PEARCE  MPT
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
1174400000XSpecialist7787NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20795QOTHERNCBCBS

General Provider Information

NPI Number : 1104898212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID M PEARCE MPT
Provider Business Mailing Address
First Line : PO BOX 12830
Second Line :
City : NEW BERN
State : NC
Zip : 28561-2830
Country : US
Telephone Number : 252-636-9800
Fax Number : 252-636-9855
Provider Business Practice Location Address
First Line : 2009 NEUSE BLVD
Second Line :
City : NEW BERN
State : NC
Zip : 28560-3470
Country : US
Telephone Number : 252-636-9800
Fax Number : 252-636-9855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 07/08/2007

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Directions to “ DAVID M PEARCE MPT” Practice Location

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