Individual
DYLAN PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7240
(618) 463-7216
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(618) 463-7240
(618) 463-7216
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A03463
KY
363L00000X
Nurse Practitioner
Primary
209034376
IL
Other
Enumeration date
07/14/2021
Last updated
04/09/2026
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