PIERCE DERICO
Family Medicine
Active
Individual
NPI: 1891322269
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Military Health Care Provider | 171000000X | No | - |
| Family Medicine | 207Q00000X | Yes | 0101273114 (VA) |
Frequently Asked Questions
NPI 1891322269 is the National Provider Identifier for PIERCE DERICO, a Family Medicine provider located in Twentynine Palms, CA. This NPI was enumerated on March 25, 2020.
PIERCE DERICO practices at 1145 STURGIS ROAD, Twentynine Palms, CA 92278.
Quick Facts
- NPI
- 1891322269
- Type
- Individual
- Enumerated
- Mar 25, 2020
- Last Updated
- Jul 3, 2023
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