| Harry A. Pierce, Do, Ps | |
|
13014 12th Ave Sw Burien WA 98146-3110 | |
| (206) 244-5805 | |
| (206) 248-7362 |
| Full Name | Harry A. Pierce, Do, Ps |
|---|---|
| Speciality | Clinic/Center |
| Location | 13014 12th Ave Sw, Burien, Washington |
| Authorized Official Name and Position | Harry A Pierce (OWNER/PRESIDENT) |
| Authorized Official Contact | 2062445805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harry A. Pierce, Do, Ps 13014 12th Ave Sw Burien WA 98146-3110 Ph: (206) 244-5805 | Harry A. Pierce, Do, Ps 13014 12th Ave Sw Burien WA 98146-3110 Ph: (206) 244-5805 |
| NPI Number | 1366697310 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 11/18/2008 |
| Medicare PECOS PAC ID | 2264579648 |
|---|---|
| Medicare Enrollment ID | O20091019000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366697310 | NPI | - | NPPES |
| 15744 | Other | WA | DEPARTMENT OF LABOR AND INDUSTRIES |
| 1294008 | Medicaid | WA | |
| P624 | Other | WA | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OP0000769 (Washington) | Primary |
| Provider Name | Harry A Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801877717 PECOS PAC ID: 3678619137 Enrollment ID: I20091014000188 |
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