Individual
JACOB LIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 672-1000
Mailing address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 672-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
81892
AZ
207P00000X
Emergency Medicine Physician
Primary
8452A
WY
Other
Enumeration date
07/25/2007
Last updated
10/17/2025
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