Provider Demographics
NPI:1518950161
Name:PIERREND, JOSE L (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:L
Last Name:PIERREND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9145 W THUNDERBIRD RD
Mailing Address - Street 2:STE 101
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4820
Mailing Address - Country:US
Mailing Address - Phone:623-815-7800
Mailing Address - Fax:623-815-7900
Practice Address - Street 1:14873 W BELL RD
Practice Address - Street 2:STE 100
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-7609
Practice Address - Country:US
Practice Address - Phone:623-815-7800
Practice Address - Fax:623-815-7900
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2019-01-24
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Provider Licenses
StateLicense IDTaxonomies
AZ32298207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ862757Medicaid
AZ862757Medicaid
AZ79588Medicare PIN