MEDICARE: DR. DAVID A LIU MD, DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	44355	MN
2	207Y00000X	Otolaryngology Physician	10054A	WY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	040017466	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1652661	OTHER	MN	AMERICAS PPO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1000323	OTHER	MN	MEDICA
5	40M40LI	OTHER	MN	BCBS
6	141284	OTHER	MN	UCARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	HP37497	OTHER	MN	HEALTH PARTNERS
9	NA2951029064	OTHER	MN	PREFERRED ONE

General Provider Information

NPI Number	:	1093793010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A LIU MD, DDS

Provider Business Mailing Address
First Line	:	PO BOX 1359
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82902-1359
Country	:	US
Telephone Number	:	307-212-7738
Fax Number	:	307-212-7786

Provider Business Practice Location Address
First Line	:	1180 COLLEGE DR
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-5863
Country	:	US
Telephone Number	:	307-212-7738
Fax Number	:	307-212-7786

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	01/22/2020

Similar Medicare Providers

1033175831 — MELINDA J. POYER D.O.
Practice Location Address:

1180 COLLEGE DR , SUITE 3-2
ROCK SPRINGS, WY
82901-5863

Practice Phone: 307-362-0083
Practice Fax: 307-362-0084

1487607180 — DR. BANU E SYMINGTON MD
Practice Location Address:

1180 COLLEGE DR
ROCK SPRINGS, WY
82901-5863

Practice Phone: 307-382-2234
Practice Fax: 307-382-2302

1407892482 — WALLACE M CURRY JR. M.D.
Practice Location Address:

1180 COLLEGE DR , SUITE 3-4
ROCK SPRINGS, WY
82901-5863

Practice Phone: 307-362-4200
Practice Fax: 307-362-5406

1265449060 — DR. LUCY HABERTHIER-RYAN MD
Practice Location Address:

1180 COLLEGE DR
ROCK SPRINGS, WY
82901-5863

Practice Phone: 307-212-7717
Practice Fax: 307-212-7513

1477564656 — DR. JOSEPH J OLIVER MD
Practice Location Address:

1180 COLLEGE DR
ROCK SPRINGS, WY
82901-5863

Practice Phone: 307-212-7770
Practice Fax: 307-382-6615

1922103431 — STARLA R LEETE APRN, CNM
Practice Location Address:

1180 COLLEGE DR
ROCK SPRINGS, WY
82901-5863

Practice Phone: 307-352-8383
Practice Fax: 307-352-8477

Directions to “ DR. DAVID A LIU MD, DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.