MEDICARE: DR. PAUL GEOFFREY 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	2084P0800X	Psychiatry Physician	26348	OK

General Provider Information

NPI Number	:	1952499337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL GEOFFREY PIERCE M.D.

Provider Business Mailing Address
First Line	:	2601 NW EXPRESSWAY
Second Line	:	SUITE 600 WEST
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-7272
Country	:	US
Telephone Number	:	405-840-2224
Fax Number	:	405-286-1303

Provider Business Practice Location Address
First Line	:	2601 NW EXPRESSWAY
Second Line	:	SUITE 600 WEST
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-7272
Country	:	US
Telephone Number	:	405-840-2224
Fax Number	:	405-286-1303

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/17/2009

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