Healthcare Provider Details

I. General information

NPI: 1326090481
Provider Name (Legal Business Name): RICHARD J PEIRCE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 WESTOWN PKWY SUITE 210
WEST DES MOINES IA
50266
US

IV. Provider business mailing address

5901 WESTOWN PWKY SUITE 210
WEST DES MOINES IA
50266-2216
US

V. Phone/Fax

Practice location:
  • Phone: 515-221-9222
  • Fax: 515-221-0575
Mailing address:
  • Phone: 515-221-9222
  • Fax: 515-221-0575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number19463
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number46271
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: