MEDICARE: DR. CHRISTOPHER A PIERCE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	0181	ID

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	050060667	OTHER	ID	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285623876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER A PIERCE DO

Provider Business Mailing Address
First Line	:	1820 W VERNEAL CT
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642-6535
Country	:	US
Telephone Number	:	208-288-3298
Fax Number	:

Provider Business Practice Location Address
First Line	:	1512 12TH AVE RD
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-6008
Country	:	US
Telephone Number	:	208-461-2883
Fax Number	:	208-461-2953

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	04/06/2011

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