Individual
DR. ELLEN ANITA LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
(801) 296-1715
Mailing address
PO BOX 520691, SALT LAKE CITY, UT 84152-0691
(801) 296-2113
(801) 296-1715
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
319324-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507140
—
NV
05
—
117188700
—
WY
Enumeration date
07/19/2005
Last updated
11/02/2011
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