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Individual

DR. ROGER T LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 NW 114TH ST, SUITE 347, DES MOINES, IA 50324-7046
(515) 224-1777
(515) 222-0226
Mailing address
1601 NW 114TH ST, SUITE 347, DES MOINES, IA 50324-7046
(515) 224-1777
(515) 222-0226

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
21030
IA
207RP1001X
Pulmonary Disease Physician
21030
IA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
21030
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0156158
IA
01
15615
WELLMARK
IA
01
35550
MIDLAND'S CHOICE
IA
01
73006
COVENTRY
IA
01
849728
UNITED HEALTHCARE
IA
01
IA0104
UHC OF THE RIVER VALLEY
IA
Enumeration date
01/04/2006
Last updated
10/19/2013
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