Provider Demographics
NPI:1750542171
Name:PIERSON, MOLLY DYRSEN (MD)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:DYRSEN
Last Name:PIERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9844 REDHILL DR
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5627
Mailing Address - Country:US
Mailing Address - Phone:513-745-8330
Mailing Address - Fax:513-745-0892
Practice Address - Street 1:9844 REDHILL DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5627
Practice Address - Country:US
Practice Address - Phone:513-745-8330
Practice Address - Fax:513-745-0892
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247999207ZP0102X
OH35.097706207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology