person
Philip Lieberman, MD
Military Health Care Provider in Fpo, N/A
NPI 1669979316

Philip Lieberman is a Military Health Care Provider based in Camp Pendleton, . Philip Lieberman practices in Fpo, and has the professional credentials of MD. The NPI Number for Philip Lieberman is 1669979316 and holds a License No. 0101267819 (N/A).

The current practice location address for Philip Lieberman is 22 Area Medical Clinic, Fpo, and can be reached out via phone at 760-725-2969.

Location: 22 Area Medical Clinic, Fpo, , 92055-5881
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Provider Profile Details
NPI Number
1669979316
Provider Name
Philip Lieberman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22 Area Medical Clinic, Fpo, , 92055-5881
Phone Number
760-725-2969
Fax Number
Provider Enumeration Date
04/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0101267819 01 VA MEDICINE LICENSE
institution
Provider Business Practice Location Address Details
Address
22 Area Medical Clinic
City
Fpo
State
Zip
92058
Phone Number
760-725-2969
Fax Number
person
Provider Business Mailing Address Details
Address
22 Area Medical Clinic
City
Fpo
State
Zip
92058
Phone Number
760-725-2969
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
0101267819 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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