James W Liston, CP

NPI #1104396217 in Murray, Utah

Provider Information

NPI Number: 1104396217
Entity Type: Individual
Name: James W Liston, CP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: CP
Enumeration Date: Dec 1, 2018
Last Updated: Dec 1, 2018

Practice Location

Address: 5292 S COLLEGE DR STE 103
City: Murray
State: Utah
ZIP Code: 84123-2959
Phone: (801) 244-5215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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