Individual
JUSTIN SCOTT LIBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 SENECA ST, H8-GME, SEATTLE, WA 98101-2742
(206) 583-6079
(206) 583-2307
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-6079
(206) 583-2307
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
54041
TN
207L00000X
Anesthesiology Physician
Primary
MD61025358
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2012
Last updated
06/29/2022
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