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Individual

DR. CHRISTOPHER A PIERCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1512 12TH AVE RD, NAMPA, ID 83686-6008
(208) 461-2883
(208) 461-2953
Mailing address
1820 W VERNEAL CT, MERIDIAN, ID 83642-6535
(208) 288-3298

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0181
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050060667
RAILROAD MEDICARE
ID
05
804278000
ID
Enumeration date
10/17/2005
Last updated
04/06/2011
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