Individual
MATTHEW PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
65 E TWIN PEAKS ST, MIDVALE, UT 84047-1215
(801) 568-6700
Mailing address
6060 S 2180 E, HOLLADAY, UT 84121-1435
(443) 821-5552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12007788-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2019
Last updated
11/02/2020
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