Individual
AMY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 S CHERRY AVE, EATON, CO 80615-8255
(970) 454-3838
Mailing address
100 S CHERRY AVE, EATON, CO 80615-8255
(970) 454-3838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0064372
CO
390200000X
Student in an Organized Health Care Education/Training Program
MT210934
PA
Other
Enumeration date
05/24/2016
Last updated
08/27/2020
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