Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES G LIESEN, DO
ActiveJAMES G LIESEN, DO is a Pediatrics healthcare provider located in BOLIVAR, Missouri. NPI 1003815291 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · BOLIVAR, MO
Registration Details
- NPI Number
- 1003815291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2005 (21.101399577122 yrs)
- Last Updated
- Feb 23, 2017
- Licenses
-
2101 (WV)2008032320 (MO)
Practice Information
- Address
-
1195 N OAKLAND AVESUITE 2BOLIVAR, MO, 656138095Browse MO providers · Browse ZIP 65613
- Phone
- 4177772121
- Fax
- 4177772854
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in BOLIVAR, MO
| Name | Credential | NPI |
|---|---|---|
| DR. MAIDA PATRICIA BAUGH | MD | 1508979402 |
| DR. SHANNON LEIGH CALVERT | MD | 1902919814 |
| DR. ANGELA D COLLINS | MD | 1629120506 |
| JEFFREY RANDALL FRERKING | — | 1649915273 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.