Individual
MILLIE LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-5782
Mailing address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2024017648
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2024017648
MO
Other
Enumeration date
04/04/2018
Last updated
07/16/2024
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