Individual
THEODORE GEH-LU LIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-7806
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
182794-1205
UT
207RP1001X
Pulmonary Disease Physician
182794-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110113199
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
11/18/2021
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