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Individual

DR. DAVID DONGJIE LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 S UNIVERSITY AVE # 160, LITTLE ROCK, AR 72205-5246
(501) 255-2482
Mailing address
PO BOX 22389, PMB 82739, NASHVILLE, TN 37202
(866) 315-2626

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E-2195
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-20698
UNITED HEALTHCARE
AR
01
110248506
RAILROAD MEDICARE
05
136440001
AR
01
18414000002
QUALCHOICE
AR
Enumeration date
09/20/2005
Last updated
12/12/2023
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