Individual
RALPH PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9993
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2417
PA LICENSE NUMBER
FL
Enumeration date
05/23/2007
Last updated
06/15/2023
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