Individual
INA G. LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 W THOMAS RD, 301, PHOENIX, AZ 85013-4407
(602) 406-4931
(602) 406-4522
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35117
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289208
—
AZ
Enumeration date
02/10/2006
Last updated
05/03/2012
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