JERRY M LIDDELL

SAINT LOUIS, MO
NPI1700872611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: MO  2005018735)
Enumeration Date2005-09-26
Last Update Date2025-04-17
Business Address
Mr. JERRY M LIDDELL DPM
4901 FOREST PARK AVE DIV SURG ACCS PODIATRY, STE 420
SAINT LOUIS, MO 63108-1495
Phone number: 314-747-4769
Mailing Address
Mr. JERRY M LIDDELL DPM
PO BOX 7412011
CHICAGO, IL 60674-2011
Phone number: 314-747-4769
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