Provider Demographics
NPI:1952499337
Name:PIERCE, PAUL GEOFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:GEOFFREY
Last Name:PIERCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2601 NW EXPRESSWAY
Mailing Address - Street 2:SUITE 600 WEST
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7272
Mailing Address - Country:US
Mailing Address - Phone:405-840-2224
Mailing Address - Fax:405-286-1303
Practice Address - Street 1:2601 NW EXPRESSWAY
Practice Address - Street 2:SUITE 600 WEST
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7272
Practice Address - Country:US
Practice Address - Phone:405-840-2224
Practice Address - Fax:405-286-1303
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK263482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry