NPI 1184122756

Steven Craig Pierce, PAC

Practitioner Medical Physician Assistant Rexburg, ID

Practice location

Address: 450 E Main St, Rexburg, ID 83440-2048
Phone: (208) 356-3691

Registered specialties (4)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-1666 (ID)

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Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 10527550-1206 (UT)

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 10527550-8906 (UT)

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 186220 (OR)

Registry record

NPI: 1184122756
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2018
Record last updated: 15 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.