Organization
VERNON K. LIU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON K LIU (PRESIDENT)
(801) 576-1118
Entity
Organization
Contact information
Practice address
880 E 9400 S, SUITE 102, SANDY, UT 84094-3667
(801) 576-1118
(801) 576-1221
Mailing address
880 E 9400 S, SUITE 102, SANDY, UT 84094-3667
(801) 576-1118
(801) 576-1221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
UT
261QP2300X
Primary Care Clinic/Center
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110185016
RAILROAD MEDICARE
UT
Enumeration date
11/29/2009
Last updated
07/28/2011
Update your record
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