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Individual

DR. CHARLES EDWARD LIU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MARIO CAPECCHI DR, DEPARTMENT OF ANESTHESIOLOGY, SALT LAKE CITY, UT 84113-1103
(801) 662-3578
(801) 662-3588
Mailing address
100 MARIO CAPECCHI DR, DEPARTMENT OF ANESTHESIOLOGY, SALT LAKE CITY, UT 84113-1103
(801) 662-3578
(801) 662-3588

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
7098782-1205
UT

Other

Enumeration date
03/30/2007
Last updated
10/04/2011
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