Organization
MATTHEW A LIEBENTRITT, DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW A LIEBENTRITT DO (OWNER)
(303) 839-5105
Entity
Organization
Contact information
Practice address
5706 ASPEN CREEK DR, BROOMFIELD, CO 80020-3943
(303) 829-5105
(303) 927-7835
Mailing address
5706 ASPEN CREEK DR, BROOMFIELD, CO 80020-3943
(303) 829-5105
(303) 927-7835
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95057021
—
CO
Enumeration date
06/02/2008
Last updated
03/03/2009
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