Jared Michael Liston, M.D. is a student in an organized health care education training program in Charlottesville, VA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jared Michael Liston, M.D. NPI is 1932630019. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1215 LEE ST
BOX #800376
CHARLOTTESVILLE, VA
ZIP 22908-816
Phone: (434) 924-5078
Fax: (434) 924-8118
The NPI 1932630019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.
The enumeration date for this NPI number is 3/21/2017 and was last updated on 3/21/2017.