| Matthew a Liebentritt, DO | |
|
5706 Aspen Creek Dr Broomfield CO 80020-3943 | |
| (303) 829-5105 | |
| (303) 927-7835 |
| Full Name | Matthew a Liebentritt, DO |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5706 Aspen Creek Dr, Broomfield, Colorado |
| Authorized Official Name and Position | Matthew a Liebentritt (OWNER) |
| Authorized Official Contact | 3038395105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew a Liebentritt, DO 5706 Aspen Creek Dr Broomfield CO 80020-3943 Ph: (303) 829-5105 | Matthew a Liebentritt, DO 5706 Aspen Creek Dr Broomfield CO 80020-3943 Ph: (303) 829-5105 |
| NPI Number | 1629237052 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 03/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629237052 | NPI | - | NPPES |
| 95057021 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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