Individual
JEREMY ISAAC LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 EAST ST, STE 250, CONCORD, CA 94520-2084
(925) 689-6211
(925) 689-3857
Mailing address
1450 TREAT BLVD # 300, WALNUT CREEK, CA 94597-2168
(925) 952-2828
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A79348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067920
—
CA
Enumeration date
07/12/2005
Last updated
08/02/2021
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