Basic Information
| Provider Information | |||||||||
| NPI: | 1306855671 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PIERI | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | JOHN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2669 SCENIC DR | ||||||||
| Address2: | |||||||||
| City: | ALAMOGORDO | ||||||||
| State: | NM | ||||||||
| PostalCode: | 883108700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5754465310 | ||||||||
| FaxNumber: | 5754465319 | ||||||||
| Practice Location | |||||||||
| Address1: | 2669 SCENIC DR | ||||||||
| Address2: | |||||||||
| City: | ALAMOGORDO | ||||||||
| State: | NM | ||||||||
| PostalCode: | 883108700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5754465310 | ||||||||
| FaxNumber: | 5754465319 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2006 | ||||||||
| LastUpdateDate: | 11/30/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 92-329 | NM | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 036067280 | 05 | IL | MEDICAID |