Organization
ELIZABETH B. PIERCE, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH B. PIERCE DO (OWNER)
(207) 847-9200
Entity
Organization
Contact information
Practice address
10 FOREST FALLS DR STOP 11, YARMOUTH, ME 04096-4900
(207) 847-9200
(207) 847-9315
Mailing address
10 FOREST FALLS DR STOP 11, YARMOUTH, ME 04096-4900
(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
—
047545
ANTHEM
ME
01
—
3054914
AETNA ID #
ME
01
—
MM9835
PTAN
—
Enumeration date
04/26/2007
Last updated
09/08/2014
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