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Individual
DAVID GORDON LIDDLE
Active
Individual
DAVID GORDON LIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
7153530-1205
UT
207R00000X
Internal Medicine Physician
7153530-1205
UT
207X00000X
Orthopaedic Surgery Physician
MD46150
TN
Other
Enumeration date
11/03/2008
Last updated
08/13/2024
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