Provider Demographics
NPI:1871653303
Name:PIERCE, ARTHUR CLYDE JR (DC)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:CLYDE
Last Name:PIERCE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 W HIGHWAY 40
Mailing Address - Street 2:STE 1
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-2400
Mailing Address - Country:US
Mailing Address - Phone:435-789-7157
Mailing Address - Fax:
Practice Address - Street 1:975 W HIGHWAY 40
Practice Address - Street 2:STE 1
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2400
Practice Address - Country:US
Practice Address - Phone:435-789-7157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT129344-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor