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NPI Code Detail

MEDICARE: DIANE M PIERSON DO

MEDICARE: DIANE M PIERSON DO
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician34.010731OH
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician03093KY

Other Identifiers

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

General Provider Information

NPI Number : 1821076704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE M PIERSON DO
Provider Business Mailing Address
First Line : PO BOX 539
Second Line :
City : ASHLAND
State : KY
Zip : 41105-0539
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 2201 LEXINGTON AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-2843
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 10/04/2017

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