Organization
GREGORY J LIEBSCHER, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J LIEBSCHER MD (PRESIDENT)
(719) 634-2503
Entity
Organization
Contact information
Practice address
5901 CORPORATE DR, COLORADO SPRINGS, CO 80919-1941
(719) 634-2503
(719) 634-2686
Mailing address
5901 CORPORATE DR, COLORADO SPRINGS, CO 80919-1941
(719) 634-2503
(719) 634-2686
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
33468
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49484281
—
CO
Enumeration date
06/22/2012
Last updated
06/22/2012
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