| Doctor Name: | BERNARD JAMES LIDDY |
| NPI Number: | 1760448633 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35027472L |
| Business Practice Address: | 103 Millwood Village Dr Clayton, OH - 45315 |
| Business Phone Number: | 9378366277 |
| Business Fax Number: | 9378360320 |
| Mailing Address: | 103 Millwood Village Dr, CLAYTON |
| State: | OH |
| Postal Code: | 45315 |
| Phone Number: | 9378366277 |
| Fax Number: | 9378360320 |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 07/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35027472L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |