Individual
GREGORY J. LIEBSCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 CORPORATE DR, COLO SPGS, CO 80919-1941
(719) 634-2503
(719) 634-2686
Mailing address
5901 CORPORATE DR, COLO SPGS, CO 80919-1941
(719) 634-2503
(719) 634-2686
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
33468
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01334689
—
CO
01
—
LIA35161
BLUE SHIELD
CO
Enumeration date
03/23/2006
Last updated
04/08/2009
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