Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC E. LIEDTKE, DO
ActiveDR. ERIC E. LIEDTKE, DO is a General Surgery healthcare provider located in OGDEN, Utah. NPI 1366624330 is currently active in the NPPES registry. Verify at CMS.
General Surgery · OGDEN, UT
Registration Details
- NPI Number
- 1366624330
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 3, 2007 (18.730282008319 yrs)
- Last Updated
- Jun 15, 2021
- Licenses
-
20A12096 (CA)OP60582410 (WA)12168421-1204 (UT)
Practice Information
- Address
-
4650 HARRISON BLVDOGDEN, UT, 844034303Browse UT providers · Browse ZIP 84403
- Phone
- 8014753010
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
- Additional Specialty
- General Surgery
Other General Surgery Providers in OGDEN, UT
| Name | Credential | NPI |
|---|---|---|
| EDWARD A JORDAN | MD | 1740277599 |
| DR. ROBERT D WHIPPLE | MD | 1306834114 |
| JOHN GILBERT MARTINEZ | M.D. | 1710957980 |
| DR. ROBERT CLARK MOESINGER | MD | 1497717011 |
| DR. LYLE H ARCHIBALD | MD | 1235247354 |
| DR. VICTOR VARELA | MD | 1538277660 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.