Individual
DR. DAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OP60006008
WA
208D00000X
General Practice Physician
2005020367
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0237334
L & I
WA
05
—
1092324
—
WA
05
—
207441809
—
MO
05
—
8515884
—
WA
01
—
8947690
CRIME VICTIMS
WA
Enumeration date
10/05/2006
Last updated
12/07/2020
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