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Contact Information

DAVID A LIU, MD, DDS
1180 COLLEGE DR
ROCK SPRINGS, WY82901-5863
 Phone: 307-212-7738
 Fax: 307-212-7786
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DAVID A LIU · (Male)

NPI Number 1093793010
Status Active
Credentials MD, DDS
Entity Individual
Enumeration date 01/09/2006
Last updated 01/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 44355
  • WY License # 10054A
  • IA Medicaid 6129536
  • MN Medicaid 579112000
  • Other 040017466 RR MEDICARE
  • MN Other 1652661 AMERICAS PPO
  • MN Other 40M40LI BCBS
  • MN Other HP37497 HEALTH PARTNERS
  • MN Other 1000323 MEDICA
  • MN Other NA2951029064 PREFERRED ONE
  • MN Other 141284 UCARE
Hospital affiliation(s)
  • MEMORIAL HOSPITAL SWEETWATER COUNTY - (Acute Care)
    1200 COLLEGE DRIVE
    ROCK SPRINGS, WY 82901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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