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Search › Missouri › 208000000X

James Liesen, DO

NPI 1003815291 · on the registry since 2005

Practice

Address
1195 N Oakland Ave
Suite 2
Bolivar, MO 65613
Phone
(417) 777-2121
Fax
(417) 777-2854
Organisation at this address
Citizens Memorial Healthcare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208000000X
Licence states on file
WV, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri