Derek R Libby


Address: 97 A Exchange St, Suite 201, Portland, ME 04101-5016
Phone: 2077733335

Derek R Libby (NPI# 1184815730, PAC ID# 4486721834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1184815730
PAC ID by PECOS 4486721834
Professional Enrollment ID I20080926000203
Full Name Derek R Libby
Address 97 A Exchange St
Suite 201
Portland
ME 04101-5016
Phone Number 2077733335
Gender M
Medical School UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year 2003
Primary Specialty OSTEOPATHIC MANIPULATIVE MEDICINE
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
97 A Exchange St, Suite 201, Portland, ME 04101-5016 2077733335

Organization Information

Office Location

Street Address 97 A EXCHANGE ST
SUITE 201
City PORTLAND
State ME
Zip 04101-5016

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Competitor

Search similar physicians

City PORTLAND
Zip Code 04101
Specialty OSTEOPATHIC MANIPULATIVE MEDICINE
City + Specialty PORTLAND + OSTEOPATHIC MANIPULATIVE MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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