Individual
MATTHEW AARON LIEBENTRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12169 SHERIDAN BLVD, BROOMFIELD, CO 80020-2459
(303) 603-9400
(303) 603-9420
Mailing address
12169 SHERIDAN BLVD, BROOMFIELD, CO 80020-2459
(303) 603-9400
(303) 603-9420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41855
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82778868
—
CO
01
—
P00462907
MEDICARE RAILROAD
—
Enumeration date
11/28/2006
Last updated
06/25/2012
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