Organization
LIV SPECIALTY CARE CT PC
Active
Other names
Local Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MICHAEL BUCY (SENIOR REIMBURSEMENT MANAGER)
(844) 614-2354
Entity
Organization
Contact information
Practice address
47010 COMMUNITY PLZ STE 150, STERLING, VA 20164-1896
(703) 977-6779
Mailing address
PO BOX 53304, PHOENIX, AZ 85072-3304
(844) 614-2354
(844) 278-8635
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
10/09/2023
Last updated
04/23/2026
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