Bryce Liedtke
NPI #1063934164 in Berkeley, California
Provider Information
- NPI Number
- 1063934164
- Entity Type
- Individual
- Name
- Bryce Liedtke
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 10, 2017
- Last Updated
- Jul 10, 2017
Practice Location
- Address
- 3200 ADELINE ST
- City
- Berkeley
- State
- California
- ZIP Code
- 94703-2407
- Phone
- (510) 506-0203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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