Individual provider · Type 1 NPI

Terry Liefde, MD

Student in an Organized Health Care Education/Training Program · Pine Bluff, AR

NPI number 1083465710 Active

Practice location

1601 W 40th Ave
Pine Bluff, AR 71603-6069

Call (870) 541-6000 Map

Fax (870) 541-6009

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XTL.0010310 (CO)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083465710

Terry Liefde, MD's National Provider Identifier is 1083465710, issued on Mar 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pine Bluff, AR. The record was last updated on Jun 26, 2026.