Individual
ELIZABETH B. PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
60 FOREST FALLS DR, STE 5, YARMOUTH, ME 04096-6971
(207) 847-9200
(207) 847-3501
Mailing address
60 FOREST FALLS DR, STE 5, YARMOUTH, ME 04096-6971
(207) 847-9200
(207) 847-9315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1563
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080193647
MEDICARE RAILROAD
—
01
—
5599661
AETNA PROVIDER ID
—
Enumeration date
06/09/2006
Last updated
10/16/2020
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