Individual
JUSTIN SPENCER LIBAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 PARNASSUS AVE # S436, SAN FRANCISCO, CA 94143-2205
(415) 514-3781
Mailing address
500 PARNASSUS AVE, FL MUE, SAN FRANCISCO, CA 94143-2203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A149025
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
10/03/2020
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