Individual provider · Type 1 NPI
Craig Martin Liddle
Specialist · Clay Springs, AZ
NPI number
1164730677
Active
Practice location
4751 Sawmill Rd
Clay Springs, AZ 85923
Mailing address
PO Box 855
Clay Springs, AZ 85923-0855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2527515 (AZ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1164730677
Craig Martin Liddle's National Provider Identifier is 1164730677, issued on Sep 17, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clay Springs, AZ. The record was last updated on Sep 17, 2010.