# MATTHEW J PIERZALA DO PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336250315
- **Authorized official:** LORI K MILLER (OFFICE MANAGER)
- **Authorized official phone:** (606) 928-7755

## Contact information

- **Practice address:** 6572 MIDLAND TRAIL RD, ASHLAND, KY 41102-9286
- **Practice address phone:** (606) 928-7755
- **Practice address fax:** (606) 928-0052
- **Mailing address:** 6572 MIDLAND TRAIL RD, ASHLAND, KY 41102-9286
- **Mailing address phone:** (606) 928-7755
- **Mailing address fax:** (606) 928-0052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | KY02941 | KY | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020