SHANE C PIERCE

DULLES, VA
NPI1659456556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10005093)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
-- SHANE C PIERCE PA-C
2180 HARARE PL
DULLES, VA 20189-2180
Phone number: 202-663-2453
Mailing Address
-- SHANE C PIERCE PA-C
2401 E STREET NW M/MED/QI SA-1
WASHINGTON DC, DC 20522-0102
Phone number: 202-663-2453