Individual
MARK N PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 12TH AVE N, SUITE 140W, BILLINGS, MT 59101-7506
(406) 238-6540
(406) 238-6599
Mailing address
2900 12TH AVE N, SUITE 140W, BILLINGS, MT 59101-7506
(406) 238-6540
(406) 238-6599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
414
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000900873
BLUECROSS BLUESHIELD
MT
05
—
121839500
—
WY
05
—
4306705
—
MT
01
—
P00264425
RR MEDICARE
MT
Enumeration date
08/18/2005
Last updated
03/24/2015
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