Individual
DANIEL LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA ST, OAK HARBOR, WA 98278-0001
(603) 257-9915
Mailing address
22 AREA MARINE CENTERED MEDICAL HOME, BLDG 22190, CAMP PENDLETON, CA 92055
(760) 725-3784
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
29467
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2015
Last updated
04/30/2024
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