Dr Charles Edward Liu, MD | |
100 Mario Capecchi Dr, Department Of Anesthesiology, Salt Lake City, UT 84113-1103 | |
(801) 662-3578 | |
(801) 662-3588 |
Full Name | Dr Charles Edward Liu |
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Gender | Male |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | 100 Mario Capecchi Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548380744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 7098782-1205 (Utah) | Primary |
Entity Name | Pediatric Anesthesiologists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417965799 PECOS PAC ID: 4385618578 Enrollment ID: O20040824000152 |
Mailing Address | Practice Location Address |
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Dr Charles Edward Liu, MD 100 Mario Capecchi Dr, Department Of Anesthesiology, Salt Lake City, UT 84113-1103 Ph: (801) 662-3578 | Dr Charles Edward Liu, MD 100 Mario Capecchi Dr, Department Of Anesthesiology, Salt Lake City, UT 84113-1103 Ph: (801) 662-3578 |
Dr. Anne Wierman Estares, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 4c104, Salt Lake City, UT 84132 Phone: 719-314-5254 | |
Ashley Nicole Langell, MS, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132 Phone: 801-581-3622 | |
Dr. Nicole Jeffreys, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3578 | |
Matthew L Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618 | |
Dr. Jeffrey David Dillon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Room 3c444, Salt Lake City, UT 84132 Phone: 801-581-6393 Fax: 801-581-4367 | |
Jennifer Jean Davis, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6393 | |
Dennis L. Morris, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618 |