Jerry Liddell, DPM

NPI 1700872611 · on the registry since 2005

Practice

Address: 4901 Forest Park Ave
Div Surg Accs Podiatry, Ste 420
Saint Louis, MO 63108
Phone: (314) 747-4769
Fax: (888) 824-2176
Organisation at this address: Washington University
Barnes Jewish Hospital
Barnes-Jewish Hospital
Washington University Physicians In Illinois, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 232

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri