Shane C Pierce, PA-C

NPI #1659456556 in Dulles, Virginia

Provider Information

NPI Number
1659456556
Entity Type
Individual
Name
Shane C Pierce, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2180 HARARE PL
City
Dulles
ZIP Code
20189-2180
Phone
(202) 663-2453

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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