Individual
MICHAEL MING-KONG LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2006007046
MO
207P00000X
Emergency Medicine Physician
46579
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0046579
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14831252
—
CO
05
—
201338100
—
MO
01
—
P01213566
RAILROAD MEDICARE
CO
Enumeration date
07/11/2006
Last updated
08/26/2015
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