MR. JERRY LIDDELL, DPM

Podiatrist - Foot & Ankle Surgery

Active Individual
NPI: 1700872611

Practice Address

4901 FOREST PARK AVE
DIV SURG ACCS PODIATRY, STE 420
Saint Louis, MO 63108

Phone: (314) 747-4769

Specialties

Specialty Code Primary License
Podiatrist - Foot & Ankle Surgery 213ES0103X Yes 2005018735 (MO)

Frequently Asked Questions

NPI 1700872611 is the National Provider Identifier for MR. JERRY LIDDELL, DPM, a Podiatrist - Foot & Ankle Surgery provider located in Saint Louis, MO. This NPI was enumerated on September 26, 2005.
MR. JERRY LIDDELL, DPM practices at 4901 FOREST PARK AVE, DIV SURG ACCS PODIATRY, STE 420, Saint Louis, MO 63108.

Quick Facts

NPI
1700872611
Type
Individual
Enumerated
Sep 26, 2005
Last Updated
Apr 17, 2025

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