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Organization
STEVEN J. LEIB, M.D., INC
Active
Organization
STEVEN J. LEIB, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN LEIB M.D. (PRESIDENT)
(831) 438-9141
Entity
Organization
Contact information
Practice address
5610 SCOTTS VALLEY DR, SUITE A, SCOTTS VALLEY, CA 95066-3476
(831) 438-9141
(831) 438-2030
Mailing address
5610 SCOTTS VALLEY DR, SUITE A, SCOTTS VALLEY, CA 95066-3476
(831) 438-9141
(831) 438-2030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00G416080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G416080
STATE LICENSE
CA
Enumeration date
07/18/2007
Last updated
07/18/2007
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