Individual
DR. JUSTIN LIEBLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 NORTH VAN BUREN, LITTLE ROCK, AR 72205
(501) 661-0450
(501) 661-9580
Mailing address
123 NORTH VAN BUREN STREET, LITTLE ROCK, AR 72205
(501) 661-0450
(501) 661-9580
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E-7491
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118573002
—
AR
Enumeration date
05/16/2008
Last updated
07/09/2015
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