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1083957310
BRIAN S LIDDELL
NAMPA, ID
NPI
1083957310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ID O-1327)
Enumeration Date
2013-04-04
Last Update Date
2021-03-12
Business Address
Dr. BRIAN S LIDDELL D.O.
9850 W ST LUKES DR STE 270
NAMPA, ID 83687-7912
Phone number: 208-205-7820
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Mailing Address
Dr. BRIAN S LIDDELL D.O.
9850 W ST LUKES DR STE 270
NAMPA, ID 83687-7912
Phone number: 208-205-7820
Copy
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