Individual
DR. PAMELA D PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
929 N ST FRANCES, WICHITA, KS 67214-3821
(316) 268-5426
(316) 652-0340
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0422997
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
22997
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019845
BLUE CROSS/BLUE SHIELD OF KANSAS
KS
05
—
100129950A
—
KS
01
—
220013641
RR MEDICARE
KS
Enumeration date
04/20/2006
Last updated
08/05/2015
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