Individual
SURYA J PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 JEFFERSON ST NE, UNM CENTER FOR LIFE, ALBUQUERQUE, NM 87109-2136
(505) 925-7464
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28688
OK
207Q00000X
Family Medicine Physician
53217
WI
207Q00000X
Family Medicine Physician
Primary
MD2015-0267
NM
Other
Enumeration date
04/10/2007
Last updated
10/09/2024
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