Individual
DR. EVAN LEIBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 S DOBSON RD, CHANDLER, AZ 85224-5605
(480) 917-1648
Mailing address
9851 E FRIESS DR, SCOTTSDALE, AZ 85260-8854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27866
AZ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
27866
AZ
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
27866
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482779-05
—
AZ
01
—
AZ0736120
BC/BS
AZ
Enumeration date
06/01/2006
Last updated
07/19/2010
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