Individual
JIMMY D PIERCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 250-2633
(508) 250-8741
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 250-2633
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
11/07/2022
Last updated
11/17/2022
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