Individual
MR. JOHN RUSH PIERCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-2147
(505) 272-9437
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81-286
NM
207R00000X
Internal Medicine Physician
F9108
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
81-286
NM
2083P0901X
Public Health & General Preventive Medicine Physician
81-286
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100152140A
—
OK
05
—
128961309
—
TX
05
—
F7736
—
NM
Enumeration date
07/07/2006
Last updated
06/19/2012
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