Individual
COLLIN MCCLOSKEY LEIBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 SPRING ST STE 101, SCARBOROUGH, ME 04074-8926
(207) 883-7926
(207) 618-5021
Mailing address
49 SPRING ST STE 101, SCARBOROUGH, ME 04074-8926
(207) 883-7926
(207) 618-5021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD30314
ME
207QS0010X
Sports Medicine (Family Medicine) Physician
MD30314
ME
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
05/06/2026
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