Individual
DR. TRAVIS RICHARD LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2908 E. 26TH ST., SIOUX FALLS, SD 57103-4034
(605) 336-2638
(605) 334-3500
Mailing address
911 E 20TH ST, STE 300, SIOUX FALLS, SD 57105-1045
(605) 322-1300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
13909
HI
207X00000X
Orthopaedic Surgery Physician
Primary
8782
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6402660
—
SD
Enumeration date
08/12/2006
Last updated
11/06/2018
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