Individual
DR. WILLIAM GEORGE LIAKOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
813 N WASHINGTON AVE, ROSWELL, NM 88201-3941
(575) 622-2606
(575) 622-6645
Mailing address
813 N WASHINGTON AVE, ROSWELL, NM 88201-3941
(575) 622-2606
(575) 622-6645
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
99-75
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z4477
—
NM
Enumeration date
05/17/2006
Last updated
06/06/2011
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