THOMAS MARK LEIBOLD

LAKE ST LOUIS, MO
NPI1255362430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: MO  2006017165)
Enumeration Date2006-07-05
Last Update Date2020-10-23
Business Address
Dr. THOMAS MARK LEIBOLD MD
300 MEDICAL PLZ STE 310
LAKE ST LOUIS, MO 63367-1484
Phone number: 636-625-2662
Mailing Address
Dr. THOMAS MARK LEIBOLD MD
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number: