Individual
DEBORAH LIEBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, EISENHOWER IMAGING CENTER, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 674-3852
Mailing address
PO BOX 18977, RENO, NV 89511-0550
(805) 286-3826
(805) 221-6843
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G80045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G800450
BLUE SHIELD OF CA
CA
05
—
00G800450
—
CA
05
—
1750332789
—
CA
Enumeration date
05/15/2006
Last updated
05/08/2018
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