Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

James G Liesen, DO

Individual provider Pediatrics Physician · NPI 1003815291

James G Liesen, DO is a Pediatrics Physician in Bolivar, Missouri. Licensed in Missouri and West Virginia. Registered with an NPI since 2005.

Licensed in
MO, WV
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1195 N Oakland Ave Ste 2
Bolivar, MO 65613-8095
Phone: (417) 777-2121
Fax: (417) 777-2854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2008032320 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2101 (WV)

Record details

NPI number1003815291
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESFebruary 23, 2017
Mailing address1500 N Oakland Ave, Bolivar, MO 65613-3011

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