Sean Michael Liston M.D.

NPI 1104036128 - Ophthalmology - 207W00000X

NPI Details
NPI 1104036128
Gender Male
Enumeration Date 05/22/2007
Last Updated 02/13/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
605 W EAST AVE
CHICO CA, 95926-7201, US
Phone (530) 895-1727
Fax (530) 895-1506
Business Location
605 W EAST AVE
CHICO CA, 95926-7201, US
Phone (530) 895-1727
Fax (530) 895-1506
Toxanomy
Taxonomy Code 207W00000X
License State Arizona
License Number 67433
Remove 1104036128 NPI Number
 

According to our database, Dr. Sean Michael Liston M.D. NPI is 1104036128, taxonomy code is 207W00000X and license number is 67433, license state is located at Arizona. Sean Michael Liston M.D. physically located at 605 W East Ave, Chico CA, 95926-7201. NPI Number Sean Michael Liston M.D. has the Individual type.

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1104036128 NPI number is provided on an as is basis without warranty of any kind. 1104036128 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Michael Liston M.D. are for informational purposes only.