Individual
JOSHUA EARL LIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2442 WINNE AVE, HELENA, MT 59601-4921
(406) 457-4100
Mailing address
2442 WINNE AVE, HELENA, MT 59601-4921
(406) 457-4100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
11420218-1204
UT
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A19883
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/12/2018
Last updated
07/13/2023
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