Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL LIEBSON, D.P.M.
Active Sole ProprietorSAMUEL LIEBSON, D.P.M. is a Foot Surgery Podiatrist healthcare provider located in PORT ANGELES, Washington. NPI 1225116445 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · PORT ANGELES, WA
Registration Details
- NPI Number
- 1225116445
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2006 (19.808749581678 yrs)
- Last Updated
- Mar 2, 2016
- Licenses
-
2280 (OH)1755 (MA)N3760 (NY)60015889 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1597 DEER PARK RDPORT ANGELES, WA, 983628264Browse WA providers · Browse ZIP 98362
- Phone
- 3604526428
- Fax
- 3604579012
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.