Organization
CAPSTONE MEDICAL ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY LIANG D.O. (MANAGING PARTNER)
(702) 389-4137
Entity
Organization
Contact information
Practice address
5330 HWY 95, FORT MOHAVE, AZ 86426-9225
(702) 289-4137
Mailing address
PO BOX 52650, MESA, AZ 85208-0133
(702) 289-4137
(888) 945-4264
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO1477
NV
Other
Enumeration date
12/16/2014
Last updated
05/09/2019
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