Individual
DR. DAVID P LEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 325-4321
(503) 338-4018
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
(503) 338-4018
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19760
OR
2088P0231X
Pediatric Urology Physician
19760
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079116
—
OR
Enumeration date
11/16/2006
Last updated
05/09/2012
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