Liberman Wellness LLC
Preferred Provider Organization in Steamboat Springs, CO. Organization (NPI-2).
NPI number1750645461
StatusActive
Last updated in NPPESJun 27, 2012
Details
- NPI
- 1750645461
- Entity type
- Organization (NPI-2)
- Legal business name
- Liberman Wellness LLC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2012
- Last updated
- Jun 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | 5333 | CO | Yes |
Practice location
1041 Lincoln AveSuite 285
Steamboat Springs, CO 80487-5014
Phone 970-846-5558
Mailing address
27370 Brandon CircleSteamboat Springs, CO 80487
Phone 970-846-5558
Authorized official
David Liberman
Owner
9708465558
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