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Individual

MARC LEIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1701 E COLTER ST UNIT 279, PHOENIX, AZ 85016-3379
(602) 708-8455
Mailing address
PO BOX 44527, PHOENIX, AZ 85064-4527
(602) 708-8455

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15508
AZ

Other

Enumeration date
05/10/2016
Last updated
05/10/2016
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