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Organization

PIERCE MEDICAL GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DUAN L PIERCE M.D. (OWNER)
(317) 217-9026
Entity
Organization

Contact information

Practice address
5561 TRAMMEL CT, CARMEL, IN 46033-8134
(317) 217-9026
Mailing address
5561 TRAMMEL CT, CARMEL, IN 46033-8134
(317) 217-9026

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01064273A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01064273A
MEDICAL LICENSE
IN
Enumeration date
01/31/2011
Last updated
01/31/2011
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