Individual
DR. BRIAN S LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9850 W ST LUKES DR STE 270, NAMPA, ID 83687-7912
(208) 205-7820
Mailing address
9850 W ST LUKES DR STE 270, NAMPA, ID 83687-7912
(208) 205-7820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
O-1327
ID
Other
Enumeration date
04/04/2013
Last updated
03/12/2021
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