Individual
DR. SCOTT A LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12277 DE PAUL DR STE 305, BRIDGETON, MO 63044-2529
(314) 344-7585
(314) 344-2879
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
106459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00033613
RAILROAD MEDICARE
MO
Enumeration date
02/14/2006
Last updated
10/23/2020
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