Individual
JON F LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1626 30TH AVE, SUITE 201, FAIRBANKS, AK 99701
(907) 456-3100
(907) 456-3141
Mailing address
1626 30TH AVE, SUITE 201, FAIRBANKS, AK 99701
(907) 456-3100
(907) 456-3141
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2658
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007885
—
AK
05
—
MD0230
—
AK
Enumeration date
02/22/2006
Last updated
03/24/2014
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