DR. Thomas Mark Leibold, MD

NPI #1255362430 in Lake St Louis, Missouri

Provider Information

NPI Number: 1255362430
Entity Type: Individual
Name: DR. Thomas Mark Leibold, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jul 5, 2006
Last Updated: Oct 23, 2020

Practice Location

Address: 300 MEDICAL PLZ STE 310
City: Lake St Louis
State: Missouri
ZIP Code: 63367-1484
Phone: (636) 625-2662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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