Doctor Name: | DR. DUSTIN R. PIERSON |
NPI Number: | 1366678377 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 7124 Knightdale Blvd Knightdale, NC - 275459265 |
Business Phone Number: | 9192666211 |
Business Fax Number: | 9193509824 |
Mailing Address: | 7124 Knightdale Blvd, KNIGHTDALE |
State: | NC |
Postal Code: | 275459265 |
Phone Number: | 9192666211 |
Fax Number: | 9193509824 |
NPI Enumeration Date: | 06/04/2009 |
NPI Last Update Date: | 10/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |