Provider Demographics
NPI:1821185216
Name:PIERRE, FRANTZ A (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANTZ
Middle Name:A
Last Name:PIERRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12277 DE PAUL DR
Mailing Address - Street 2:STE 400
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044
Mailing Address - Country:US
Mailing Address - Phone:314-344-8880
Mailing Address - Fax:314-344-2893
Practice Address - Street 1:12277 DE PAUL DR
Practice Address - Street 2:STE 400
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044
Practice Address - Country:US
Practice Address - Phone:314-344-8880
Practice Address - Fax:314-344-2893
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4A08207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201897113Medicaid
A10053Medicare UPIN
MO332515718Medicare PIN