Jeffrey H Liaw, MD
Otolaryngology in Alexandria, VA. Individual provider (NPI-1).
NPI number1912438086
StatusActive
Last updated in NPPESOct 18, 2023
Details
- NPI
- 1912438086
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey H Liaw
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2017
- Certification date
- Oct 18, 2023
- Last updated
- Oct 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 0101278013 | VA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207Y00000X | Otolaryngology | 2022009912 | MO |
Practice location
6355 Walker Lane, Suite 308Alexandria, VA 22310-3247
Phone 703-313-7700 · Fax 703-313-0178
Mailing address
224-D Cornwall Street, Nw.Suite 403
Leesburg, VA 20176-2704
Phone 703-737-6010 · Fax 703-443-8643
Other practice locations
525 N Keene St Ste 201
Columbia, MO 65201-6967
Columbia, MO 65201-6967
Phone 573-882-7903 · Fax 573-884-4607
5301 Faraon St Ste 160
Saint Joseph, MO 64506-3829
Saint Joseph, MO 64506-3829
Phone 816-671-4840
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