Individual
HAYDEN LEIBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1641 S WHITEHEAD DR, DE WITT, AR 72042-2994
(870) 946-3571
Mailing address
1641 S WHITEHEAD DR, DE WITT, AR 72042-2994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-14790
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2019
Last updated
07/08/2022
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