MEDICARE: DR. PAUL MICHAEL PIERCE M.D.

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
1	208200000X	Plastic Surgery Physician	DR.0063972	CO

General Provider Information

NPI Number	:	1598924201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL MICHAEL PIERCE M.D.

Provider Business Mailing Address
First Line	:	6031 E WOODMEN RD STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2624
Country	:	US
Telephone Number	:	719-888-6677
Fax Number	:	719-888-5080

Provider Business Practice Location Address
First Line	:	6031 E WOODMEN RD STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2624
Country	:	US
Telephone Number	:	719-888-6677
Fax Number	:	719-888-5080

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	02/18/2025

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