Individual
RANDALL RAY PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 544-6140
(509) 544-6163
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 544-6140
(509) 544-6163
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005091
WA
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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