Dr Jonathan T Liebig, MD | |
1707 W Charleston Blvd Ste 160, Las Vegas, NV 89102-2354 | |
(702) 671-5150 | |
Not Available |
Full Name | Dr Jonathan T Liebig |
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Gender | Male |
Speciality | Surgery |
Location | 1707 W Charleston Blvd Ste 160, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760687925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2086S0127X | Surgery - Trauma Surgery | C184408 (California) | Secondary |
208600000X | Surgery | 18957 (Nevada) | Primary |
Entity Name | Desert Trauma Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144225426 PECOS PAC ID: 0547366106 Enrollment ID: O20070428000140 |
Entity Name | Trauma Team Medical Group Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907510 PECOS PAC ID: 6002977642 Enrollment ID: O20081202000088 |
Entity Name | On Call Specialists Medical Group Of San Diego Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962175836 PECOS PAC ID: 7911395231 Enrollment ID: O20211019001466 |
Mailing Address | Practice Location Address |
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Dr Jonathan T Liebig, MD 550 Washington St Ste 641, San Diego, CA 92103-2229 Ph: (619) 298-3100 | Dr Jonathan T Liebig, MD 1707 W Charleston Blvd Ste 160, Las Vegas, NV 89102-2354 Ph: (702) 671-5150 |
Moungar Elton Cooper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6240 N Durango Dr Ste 120, Las Vegas, NV 89149 Phone: 702-791-7855 | |
Dr. Ikram U Khan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3006 S Maryland Pkwy, Suite 465, Las Vegas, NV 89109 Phone: 702-595-1059 Fax: 702-734-0548 | |
Colton Ty Lee, MD Surgery Medicare: Medicare Enrolled Practice Location: 8930 W Sunset Rd Ste 300, Las Vegas, NV 89148 Phone: 702-757-4724 Fax: 702-258-7877 | |
Dr. Neri Maria Blanco-cuevas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4441 S Eastern Ave, Las Vegas, NV 89119 Phone: 702-240-6374 Fax: 702-453-6374 | |
Hannah M. Nemec, MD Surgery Medicare: Medicare Enrolled Practice Location: 1707 W Charleston Blvd Ste 160, Las Vegas, NV 89102 Phone: 702-671-5150 | |
Kitae Kim, MD Surgery Medicare: Medicare Enrolled Practice Location: 3061 S Maryland Pkwy Ste 104, Las Vegas, NV 89109 Phone: 702-629-3771 Fax: 702-438-6666 | |
Eddy H Luh, M.D., Surgery Medicare: Accepting Medicare Assignments Practice Location: 8930 W Sunset Rd Ste 300, Las Vegas, NV 89148 Phone: 702-258-7788 Fax: 702-258-7787 |