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Individual

CALEB R LEIBEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1830 E. MONUMENT ST, SUITE 6- 100, BALTIMORE, MD 21287
(410) 955-5107
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18793
FL
207P00000X
Emergency Medicine Physician
H91347
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18793
FLORIDA MEDICAL LICENSE OSTEOPATHIC PHYSICIAN
FL
Enumeration date
04/02/2018
Last updated
06/08/2022
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