Healthcare Provider Details

I. General information

NPI: 1598737397
Provider Name (Legal Business Name): SAI-LING LIU D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5TH AVENUE 306 WEST NORTON SOUND HEALTH CORPORATION
NOME AK
99762-0966
US

IV. Provider business mailing address

PO BOX 966 NORTON SOUND HEALTH CORPORATION
NOME AK
99762-0966
US

V. Phone/Fax

Practice location:
  • Phone: 907-443-3311
  • Fax: 907-443-3139
Mailing address:
  • Phone: 907-443-3311
  • Fax: 907-443-3139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2608
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: