Healthcare Provider Details

I. General information

NPI: 1841249190
Provider Name (Legal Business Name): DON LIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 04/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE HOSPITAL DR
COLUMBIA MO
65212-0001
US

IV. Provider business mailing address

PO BOX 843966
KANSAS CITY MO
64184-3944
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-1506
  • Fax: 573-884-5575
Mailing address:
  • Phone: 573-884-3300
  • Fax: 573-884-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2001006098
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: