NPI
Brian S Liddell
NPI 1083957310
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- D.O.
- Type
- Individual
- Enumeration date
- 2013-04-04
- Last updated
- 2021-03-12
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Specialties
Licenses
- License ID
- O-1327
Location
- Practice location
- 9850 W St Lukes Dr Ste 270
- City
- Nampa ID
- Postal code
- 83687-7912
- Phone
- (208) 205-7820
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Nampa, ID. 2,765 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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