NPI 1891322269
Pierce Derico
Practice location
- Address
- 1145 Sturgis Road, Twentynine Palms, CA 92278-8275
- Phone
- (760) 830-2117
- Mailing address
- 1145 Sturgis Road, Twentynine Palms, CA 92278
Registered specialties (2)
Family Medicine Physician
Primary
Military Health Care Provider
Registry record
- NPI
- 1891322269
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Mar 2020
- Record last updated
- 3 Jul 2023
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.