Individual
SAMUEL LIEBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1597 DEER PARK RD, PORT ANGELES, WA 98362-8264
(360) 452-6428
(360) 457-9012
Mailing address
1597 DEER PARK RD, PORT ANGELES, WA 98362-8264
(360) 452-6428
(360) 457-9012
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
1755
MA
213ES0131X
Foot Surgery Podiatrist
2280
OH
213ES0131X
Foot Surgery Podiatrist
Primary
60015889
WA
213ES0131X
Foot Surgery Podiatrist
N3760
NY
Other
Enumeration date
11/02/2006
Last updated
03/02/2016
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