Provider Demographics
NPI:1609035930
Name:PIERCE, ELLIOT STEARNS (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:STEARNS
Last Name:PIERCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4263 MONTGOMERY BLVD NE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-6747
Mailing Address - Country:US
Mailing Address - Phone:505-842-0218
Mailing Address - Fax:505-842-1812
Practice Address - Street 1:4263 MONTGOMERY BLVD NE
Practice Address - Street 2:SUITE 120
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-6747
Practice Address - Country:US
Practice Address - Phone:505-842-0218
Practice Address - Fax:505-842-1812
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM79-250207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine