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Individual

GRANT TYLER PIERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1002 MCINTOSH CIR STE 4, JOPLIN, MO 64804
(417) 347-8315
(417) 347-8317
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4662

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
05-40714
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2015044739
MO
207RP1001X
Pulmonary Disease Physician
05-40714
KS
207RP1001X
Pulmonary Disease Physician
Primary
2015044739
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
05-40714
KS
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2015044739
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
34.011461
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
DR.0055410
CO

Other

Enumeration date
05/07/2012
Last updated
03/08/2024
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