DR. Brian S Liddell, D.O.

NPI #1083957310 in Nampa, Idaho

Provider Information

NPI Number: 1083957310
Entity Type: Individual
Name: DR. Brian S Liddell, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Apr 4, 2013
Last Updated: Mar 12, 2021

Practice Location

Address: 9850 W ST LUKES DR STE 270
City: Nampa
State: Idaho
ZIP Code: 83687-7912
Phone: (208) 205-7820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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