Individual
NATHAN PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2661 WASHINGTON BLVD STE 102, OGDEN, UT 84401-3606
(801) 621-8670
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055266
MEDICARE PIN
UT
01
—
260022408
RAILROAD MEDICARE
UT
05
—
8760003008007
—
UT
Enumeration date
02/12/2014
Last updated
12/16/2019
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