Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 24447 | AZ |
Y | 111NI0900X | Internist | 24447 | AZ |
N | 207RR0500X | Rheumatology | 24447 | AZ |
NPI | 1083653760 |
---|---|
Provider Name | Dr. Donald H Lieberman |
First Address | Tucson, AZ 85711-3640 |
Second Address | Tucson, AZ 85712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 25/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C28694 | (02) |