# DR. STEPHEN JACOB LEIBOVIC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962519595
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 541749837 | VA | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | 541749837 | VA | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | 541749837 | VA | — |
| 207XX0801X | Orthopaedic Trauma Physician | 541749837 | VA | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | 0101045793 | VA | Yes |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | 541749837 | VA | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | 541749837 | VA | — |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 06/26/2023