Individual
MR. RAYMOND WOLFGANG LIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
107 E OAK AVE, FLAGSTAFF, AZ 86001-1818
(928) 779-7880
(928) 779-7895
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4601
AZ
363A00000X
Physician Assistant
PA20030
CA
Other
Enumeration date
10/22/2008
Last updated
09/15/2020
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