Organization
UROLOGY ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L PIERCY M.D. (OFFICER)
(515) 955-3370
Entity
Organization
Contact information
Practice address
804 KENYON RD, SUITE H, FORT DODGE, IA 50501-5744
(515) 955-3370
(515) 576-5659
Mailing address
804 KENYON RD, SUITE H, FORT DODGE, IA 50501-5744
(515) 955-3370
(515) 576-5659
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279869
—
IA
01
—
CS6531
RAILROAD MEDICARE
IA
Enumeration date
03/14/2006
Last updated
03/25/2014
Update your record
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