Individual
WILLIAM ROBERT PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 S 10TH ST, CANON CITY, CO 81212-4920
(719) 275-6961
(719) 275-6961
Mailing address
626 S 10TH ST, CANON CITY, CO 81212-4920
(719) 275-6961
(719) 275-6961
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81209347
—
CO
Enumeration date
12/01/2006
Last updated
07/09/2007
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