Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 60981650 | WA |
Y | 213EG0000X | General Practice | 60981650 | WA |
NPI | 1003876780 |
---|---|
Provider Name | Dr. Hung-Che Brian Liao |
First Address | Chandler, AZ 85249-7396 |
Second Address | Bellevue, WA 98005-2511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 04/02/2022 |