James G Liesen, DO

NPI #1003815291 in Bolivar, Missouri

Provider Information

NPI Number: 1003815291
Entity Type: Individual
Name: James G Liesen, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: Jul 19, 2005
Last Updated: Feb 23, 2017

Practice Location

Address: 1195 N OAKLAND AVE
Address 2: SUITE 2
City: Bolivar
State: Missouri
ZIP Code: 65613-8095
Phone: (417) 777-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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