Mr. Jerry M Liddell

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Jerry M Liddell
Gender:	M
Provider License Number If Given:	2005018735

NPI Information:

NPI:	1700872611
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/26/2005
Last Update Date:	12/31/2019

Provider Business Mailing Address:

Address:	660 S EUCLID AVE CB 8109 Saint Louis, MO 63110
Phone Number:	3149538300
Fax Number:	3149968703

Provider Business Practice Location Address:

Address:	4901 FOREST PARK AVE STE 420 Saint Louis, MO 63108
Phone Number:	3149538300
Fax Number:	3149968703

Provider Taxonomy:

Primary:	213ES0103X
Secondary (if any):
State:	MO

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About Mr. Jerry M Liddell

Mr. Jerry M Liddell (MR. JERRY M LIDDELL ) is Definition Podiatrist Physician in Saint Louis, MO. The NPI Number for Mr. Jerry M Liddell is 1700872611.

The current location address for Mr. Jerry M Liddell is 4901 FOREST PARK AVE STE 420 Saint Louis, MO 63108 and the contact number is 3149538300 and fax number is 3149968703. The mailing address for Mr. Jerry M Liddell is 660 S EUCLID AVE CB 8109 Saint Louis, MO 63110- 3149538300 (mailing address contact number - 3149538300).

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Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. Jerry M Liddell ?

Answer: The NPI Number for Mr. Jerry M Liddell is 1700872611

Where is Mr. Jerry M Liddell located?

Answer: Mr. Jerry M Liddell is located at 4901 FOREST PARK AVE STE 420 Saint Louis, MO 63108.

What is the specialty for Mr. Jerry M Liddell ?

Answer: The Specialty of Mr. Jerry M Liddell is Definition Podiatrist Physician.

Are there any online reviews for Mr. Jerry M Liddell ?

Answer: Not yet!

Are there any other health care providers in Saint Louis, MO?

Answer: Yes, there are given below...

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