Individual
MICHAEL BOLAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R77302
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
61704
AZ
Other
Enumeration date
05/15/2019
Last updated
06/24/2022
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