Individual
MR. TIMOTHY P LIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAD
Contact information
Practice address
42382 BOB HOPE DRIVE, RANCHO MIRAGE, CA 92270
(760) 341-9619
(314) 839-5215
Mailing address
8800 SE SUNNYSIDE RD., STE. 300-N, CLACKAMAS, OR 97015-5738
(503) 659-5115
(816) 792-9819
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
2005030823
MO
237700000X
Hearing Instrument Specialist
Primary
7721
CA
Other
Enumeration date
04/03/2007
Last updated
06/29/2012
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