Bryce Liedtke
Specialist · Berkeley, CA
NPI number
1063934164
Practice location
3200 Adeline StBerkeley, CA 94703-2407
- Phone
- (510) 506-0203
NPI record
- NPI
- 1063934164
- Entity type
- Individual (Type 1)
- Enumeration date
- July 10, 2017
- Last updated
- July 10, 2017
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
— | — |
About Bryce Liedtke
Bryce Liedtke is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 3200 Adeline St, Berkeley, CA 94703-2407. The NPI number 1063934164 was assigned on July 10, 2017 and the record was last updated on July 10, 2017.
Frequently asked questions
What is the NPI number of Bryce Liedtke?
The NPI number is 1063934164.
What is the phone number of Bryce Liedtke?
The phone number listed for the practice location is (510) 506-0203.
Where is Bryce Liedtke located?
3200 Adeline St, Berkeley, CA 94703-2407.
What is the taxonomy code for Bryce Liedtke?
The primary taxonomy code is 174400000X – Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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