Individual
DR. TINA YULING LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1856 E FLORENCE BLVD STE 1, CASA GRANDE, AZ 85122-5303
(520) 836-5036
(520) 316-0365
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41634
AZ
2080A0000X
Pediatric Adolescent Medicine Physician
233363
NY
2080A0000X
Pediatric Adolescent Medicine Physician
41634
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420824
—
AZ
Enumeration date
04/13/2007
Last updated
12/02/2021
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