NPI 1083957310

Brian S Liddell, DO

Practitioner Pediatrics Physician Nampa, ID

Practice location

Address: 9850 W St Lukes Dr STE 270, Nampa, ID 83687-7912
Phone: (208) 205-7820

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence O-1327 (ID)

Other Pediatrics providers in Idaho →

Registry record

NPI: 1083957310
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2013
Record last updated: 12 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.