Individual
MR. CRAIG MARTIN LIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4751 SAWMILL RD, CLAY SPRINGS, AZ 85923
(623) 258-2891
Mailing address
PO BOX 855, CLAY SPRINGS, AZ 85923-0855
(623) 258-2891
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2527515
AZ
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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