Individual
DR. DAVID BERNARD LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED, SAINT LOUIS, MO 63110-1014
(314) 362-9123
(314) 747-3338
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-9123
(314) 747-3338
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2014008385
MO
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
2014008385
MO
208D00000X
General Practice Physician
2014008385
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200020138
—
MO
Enumeration date
06/29/2011
Last updated
04/17/2025
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