Individual
DR. STACEY PIERCE-TALSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2201 COURAGE DR, FAIRFIELD, CA 94533-6733
(707) 784-2010
Mailing address
2201 COURAGE DR, FAIRFIELD, CA 94533-6733
(707) 784-2010
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
20A13964
CA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
2138
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346431830
ANTHEM
ME
05
—
1346431830
—
ME
01
—
9838516
AETNA
ME
01
—
AA239303
HARVARD PILGRIM HEALTHCARE
ME
Enumeration date
08/08/2007
Last updated
07/21/2022
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