Nancy W Liu M.d. | |
5678 Far Hills Ave Dayton OH 45429-2206 | |
(937) 434-4323 | |
(937) 434-4541 |
Full Name | Nancy W Liu M.d. |
---|---|
Speciality | Internal Medicine |
Location | 5678 Far Hills Ave, Dayton, Ohio |
Authorized Official Name and Position | Nancy W Liu (OWNER) |
Authorized Official Contact | 9374344323 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nancy W Liu M.d. 5678 Far Hills Ave Dayton OH 45429-2206 Ph: (937) 434-4323 | Nancy W Liu M.d. 5678 Far Hills Ave Dayton OH 45429-2206 Ph: (937) 434-4323 |
NPI Number | 1285826198 |
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Provider Enumeration Date | 08/14/2007 |
Last Update Date | 08/14/2007 |
Medicare PECOS PAC ID | 2961436530 |
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Medicare Enrollment ID | O20050922000897 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285826198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nancy Liu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992706816 PECOS PAC ID: 9133153703 Enrollment ID: I20120223000353 |
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