Individual
DR. PATRICK LIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 N CURTIS RD STE 415, BOISE, ID 83706-1334
(208) 302-2600
(208) 302-2625
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
53908
KY
208600000X
Surgery Physician
R3837
KY
2086S0127X
Trauma Surgery Physician
Primary
M-16663
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/19/2015
Last updated
06/08/2022
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