Individual
ROBERT G LEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 11TH ST, SUPERIOR, NE 68978-1101
(402) 879-4781
(402) 879-3365
Mailing address
PO BOX 407, 525 E 11TH ST, SUPERIOR, NE 68978-0407
(402) 879-4781
(402) 879-3365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16920
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47038801213
—
NE
Enumeration date
12/26/2005
Last updated
09/09/2020
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