Individual
DR. JONATHAN T LIEBIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 W CHARLESTON BLVD STE 160, LAS VEGAS, NV 89102-2354
(702) 671-5150
Mailing address
550 WASHINGTON ST STE 641, SAN DIEGO, CA 92103-2229
(619) 298-3100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18957
NV
2086S0127X
Trauma Surgery Physician
C184408
CA
Other
Enumeration date
06/18/2007
Last updated
07/19/2023
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