Individual
DR. DAVID A LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
1180 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 212-7738
(307) 212-7786
Mailing address
PO BOX 1359, ROCK SPRINGS, WY 82902-1359
(307) 212-7738
(307) 212-7786
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10054A
WY
207Y00000X
Otolaryngology Physician
44355
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040017466
RR MEDICARE
—
01
—
1000323
MEDICA
MN
01
—
141284
UCARE
MN
01
—
1652661
AMERICAS PPO
MN
01
—
40M40LI
BCBS
MN
05
—
579112000
—
MN
05
—
6129536
—
IA
01
—
HP37497
HEALTH PARTNERS
MN
01
—
NA2951029064
PREFERRED ONE
MN
Enumeration date
01/09/2006
Last updated
01/22/2020
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