Healthcare Provider Details

I. General information

NPI: 1457320491
Provider Name (Legal Business Name): DAVID F PIERSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 WILSON CREEK RD SUITE 101
LAWRENCEBURG IN
47025-1074
US

IV. Provider business mailing address

PO BOX 4125
LAWRENCEBURG IN
47025-4125
US

V. Phone/Fax

Practice location:
  • Phone: 812-532-2608
  • Fax: 812-537-0187
Mailing address:
  • Phone: 812-537-0417
  • Fax: 812-537-9418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01041999A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: