Individual
JEROME PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 5TH ST, STE 410, SIOUX CITY, IA 51102-1394
(712) 239-4702
(712) 239-0616
Mailing address
PO BOX 3128, SIOUX CITY, IA 51102-3128
(712) 239-4702
(712) 239-0616
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25565
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080952
—
IA
Enumeration date
02/15/2006
Last updated
10/18/2007
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