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Individual

DR. STEPHEN JACOB LEIBOVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-4425
(804) 828-3060
(804) 828-3045
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
541749837
VA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
541749837
VA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
541749837
VA
207XX0801X
Orthopaedic Trauma Physician
541749837
VA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
0101045793
VA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
541749837
VA
2086S0105X
Surgery of the Hand (Surgery) Physician
541749837
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028179
HAND SURGERY
VA
01
3009495
HAND SURGERY
VA
01
321434
HAND SURGERY
VA
01
541749837
HAND SURGERY
VA
Enumeration date
08/23/2006
Last updated
06/26/2023
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