Healthcare Provider Details

I. General information

NPI: 1760943377
Provider Name (Legal Business Name): AUSTIN TAYLOR PIERCE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 N ALMA SCHOOL RD
CHANDLER AZ
85224-2841
US

IV. Provider business mailing address

1940 N ALMA SCHOOL RD
CHANDLER AZ
85224-2841
US

V. Phone/Fax

Practice location:
  • Phone: 480-890-0280
  • Fax: 480-890-2047
Mailing address:
  • Phone: 480-890-0280
  • Fax: 480-890-2047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberR77249
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: