Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY M LIDDELL, DPM
ActiveMR. JERRY M LIDDELL, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in SAINT LOUIS, Missouri. NPI 1700872611 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1700872611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2005 (20.700529657425 yrs)
- Last Updated
- Apr 17, 2025
- License
-
2005018735 (MO)
Practice Information
- Address
-
4901 FOREST PARK AVEDIV SURG ACCS PODIATRY, STE 420SAINT LOUIS, MO, 631081495Browse MO providers · Browse ZIP 63108
- Phone
- 3147474769
- Fax
- 8888242176
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN A NETTESHEIM | DPM | 1366445314 |
| DR. MICHAEL A FIGURA | DPM | 1740283498 |
| RAYMOND ABDO | DPM | 1629076674 |
| DR. MICHAEL W LOWHORN | DPM | 1396745220 |
| JEFFREY ROBERT ASCHENBRENNER | D.P.M. | 1528060191 |
| DR. LINDSAY D BARTH | DPM | 1437142635 |
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.