Organization
STEPHEN K LIU MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN K LIU M.D. (PRESIDENT)
(209) 524-2333
Entity
Organization
Contact information
Practice address
1552 COFFEE RD, MODESTO, CA 95355-3107
(209) 524-2333
(209) 524-2142
Mailing address
1552 COFFEE RD, MODESTO, CA 95355-3107
(209) 524-2333
(209) 524-2142
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A50939
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A50939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306889860
NPI FOR STEPHEN K LIU MD
CA
Enumeration date
09/13/2007
Last updated
02/27/2008
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