Provider Demographics
NPI:1023126372
Name:PIERSON, MARION SPENCE (MD)
Entity type:Individual
Prefix:DR
First Name:MARION
Middle Name:SPENCE
Last Name:PIERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MARION
Other - Middle Name:ROSE
Other - Last Name:SPENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8340 MISSION RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1355
Mailing Address - Country:US
Mailing Address - Phone:913-642-2100
Mailing Address - Fax:913-642-2127
Practice Address - Street 1:8340 MISSION RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66206-1355
Practice Address - Country:US
Practice Address - Phone:913-642-2100
Practice Address - Fax:913-642-2127
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112174208000000X
KS0426834208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics