Individual
MIMI LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 ENGLEWOOD PKWY STE 200, ENGLEWOOD, CO 80110-7399
(303) 261-1600
(303) 261-1601
Mailing address
8101 E LOWRY BLVD STE 210, DENVER, CO 80230-7195
(303) 261-1600
(303) 261-1601
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
43378
CO
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0043378
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36633038
—
CO
Enumeration date
07/05/2005
Last updated
03/11/2020
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