Individual
DR. JONATHAN JAMES LIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1081
(314) 454-6006
Mailing address
1 CHILDRENS PL STE 3S34, SAINT LOUIS, MO 63110-1081
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023022773
MO
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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