Ian Leong Liao MD

NPI 1154586105 - Internal Medicine - 207R00000X

NPI Details
NPI 1154586105
Gender Male
Enumeration Date 07/18/2008
Last Updated 04/10/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
1700 E 19TH ST
THE DALLES OR, 97058-3317, US
Phone (541) 296-7285
Fax (541) 296-7420
Business Location
1700 E 19TH ST
THE DALLES OR, 97058-3317, US
Phone (541) 296-7285
Fax (541) 296-7420
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 003458
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According to our database, Dr. Ian Leong Liao MD NPI is 1154586105, taxonomy code is 207R00000X and license number is 003458, license state is located at Georgia. Ian Leong Liao MD physically located at 1700 E 19th St, The Dalles OR, 97058-3317. NPI Number Ian Leong Liao MD has the Individual type.

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1154586105 NPI number is provided on an as is basis without warranty of any kind. 1154586105 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Leong Liao MD are for informational purposes only.