Organization
ADAM LIBBY, DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEONA DEICKE (CREDENTIALING SPECIALIST)
(203) 641-9529
Entity
Organization
Contact information
Practice address
5384 POPLAR AVE STE 410, MEMPHIS, TN 38119-0605
(901) 428-6823
Mailing address
PO BOX 791, AUBURNDALE, FL 33823-0791
(203) 641-9529
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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