Individual
BRIAN A LIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3107 FREDERICK AVE, SAINT JOSEPH, MO 64506-2911
(816) 233-9555
(816) 279-1423
Mailing address
3107 FREDERICK AVE, LOWER LEVEL, SAINT JOSEPH, MO 64506-2911
(816) 233-9555
(816) 279-1423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1999135044
MO
Other
Enumeration date
03/20/2006
Last updated
07/23/2008
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