Individual provider · Type 1 NPI
Juan Liu
Medical Physician Assistant · Ellicott City, MD
NPI number
1396100095
Active
Practice location
3820 Bonnybridge Pl
Ellicott City, MD 21043-4133
Other practice locations
- 8890 Mcgaw Rd Ste 150, Columbia, MD 21045-4743 · (410) 203-0607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C0006000 (MD) |
| Medical Physician Assistant Primary | 363AM0700X | C0006000 (MD) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Ellicott City
About NPI 1396100095
Juan Liu's National Provider Identifier is 1396100095, issued on Dec 22, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ellicott City, MD. The record was last updated on Nov 13, 2023.