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1255362430
THOMAS MARK LEIBOLD
LAKE ST LOUIS, MO
NPI
1255362430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO 2006017165)
Enumeration Date
2006-07-05
Last Update Date
2020-10-23
Business Address
Dr. THOMAS MARK LEIBOLD MD
300 MEDICAL PLZ STE 310
LAKE ST LOUIS, MO 63367-1484
Phone number: 636-625-2662
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Mailing Address
Dr. THOMAS MARK LEIBOLD MD
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number:
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