IndividualActive
David Liddle, MD
NPI 1922251982 · Sports Medicine (Emergency Medicine) Physician · Logan, UT
Provider details
- NPI number
- 1922251982
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 7153530-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1350 N 500 E
Logan, UT 84341-2400
Phone: (435) 716-2800
Approximate (ZIP-level) locationGet directions
Mailing address
1350 N 500 E
Logan, UT 84341-2400
Registry dates
- Enumerated
- 2008-11-03
- Last updated
- 2024-08-13
- Certified
- 2024-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.