| Elisa K Pierce | |
|
4525 S 2300 E Ste 102 Holladay UT 84117-4682 | |
| (385) 955-1772 | |
| Not Available |
| Full Name | Elisa K Pierce |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4525 S 2300 E Ste 102, Holladay, Utah |
| Authorized Official Name and Position | Elisa Pierce (OWNER) |
| Authorized Official Contact | 3859551772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisa K Pierce 4525 S 2300 E Ste 102 Holladay UT 84117-4682 Ph: () - | Elisa K Pierce 4525 S 2300 E Ste 102 Holladay UT 84117-4682 Ph: (385) 955-1772 |
| NPI Number | 1790369825 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790369825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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