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Individual

SAM S LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1304 FAWCETT AVENUE, SUITE 200, TACOMA, WA 98402-1911
(253) 761-4200
(253) 383-3553
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MD00045852
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00045852
WA

Other

Enumeration date
08/14/2006
Last updated
01/26/2010
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