Individual provider · Type 1 NPI

Eric E. Liedtke, DO

Surgery Physician · Ogden, UT

NPI number 1366624330 Active

Practice location

4650 Harrison Blvd
Ogden, UT 84403-4303

Call (801) 475-3010 Map

Mailing address

PO Box 5546
Denver, CO 80217-5546

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X20A12096 (CA)
Surgery Physician 208600000XOP60582410 (WA)
Surgery Physician Primary 208600000X12168421-1204 (UT)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1366624330

Eric E. Liedtke, DO's National Provider Identifier is 1366624330, issued on Dec 3, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Ogden, UT. The record was last updated on Jun 15, 2021.