NPI | 1992180137 |
---|---|
Other Name | J BRIAN LIDDY, MD |
Entity Type | Organization |
Authorized Contact | PAULINE EVALYN COLE CEO 541-228-3660 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD154919) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2015-07-29 |