| Organization Name: | PIERCE MEDICAL GROUP, PC |
| NPI Number: | 1942506449 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DUAN L PIERCE (OWNER) |
| Mailing Address: | 5561 Trammel Ct Carmel |
| State: | IN US |
| Postal Code: | 460338134 |
| Phone Number: | 3172179026 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2011 |
| NPI Last Update Date: | 01/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01064273A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |