James G Liesen
DO | Pediatrics | Male
James G Liesen, DO is a Bolivar, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of James G Liesen is
1195 N Oakland Ave, Suite 2, Bolivar, Missouri - 65613-8095. He can be contacted on phone at
417-777-2121 and fax number 417-777-2854.
James G Liesen is a sole proprietor of his business.
NPI number (Unique professional ID) for James G Liesen is
1003815291 which was assigned by NPPES on 19 Jul, 2005 and it was last updated on 23 Feb, 2017.
James G Liesen license number is
2008032320 for Pediatrics (208000000X) in Missouri.
James G Liesen is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
James G Liesen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | James G Liesen |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
James G Liesen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1195 N Oakland Ave, Suite 2
Bolivar, MO, 65613-8095
United States |
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| Phone Number : | 417-777-2121 |
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| Fax Number : | 417-777-2854 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003815291 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jul, 2005 |
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| Last Updated On : | 23 Feb, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for James G Liesen are as mentioned. Primary taxonomy code for James G Liesen, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2101 | WV |
| 208000000X | Pediatrics | Yes | 2008032320 | MO |
Legacy Identifiers:
Other legacy medical identifiers of James G Liesen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3810002037 | MEDICAID | WV | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1500 N Oakland Ave
Bolivar, MO, 65613-3011
United States |
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| Phone Number : | 417-328-6501 |
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| Fax Number : | 417-328-6338 |
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Business Location:
Patients can refer following map for directions to
James G Liesen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.