Individual
RAYMOND L PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E MINNESOTA ST, SUITE 260, RAPID CITY, SD 57701-7756
(605) 718-7450
(605) 718-7465
Mailing address
101 E MINNESOTA ST, SUITE 260, RAPID CITY, SD 57701-7756
(605) 718-7450
(605) 718-7465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4840
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040213
BLUE SHIELD
SD
05
—
6004290
—
SD
Enumeration date
06/07/2006
Last updated
10/16/2007
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