Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Raymond Wolfgang Lieber, PA-C

Individual provider Physician Assistant · NPI 1053563965

Mr. Raymond Wolfgang Lieber, PA-C is a Physician Assistant in Flagstaff, Arizona. Qualified in 2008, 18 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
18
Licensed in
AZ, CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

107 E Oak Ave
Flagstaff, AZ 86001-1818
Phone: (928) 779-7880
Fax: (928) 779-7895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 N Beaver St, Flagstaff, AZ 86001-3118 — (928) 779-7880

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4601 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA20030 (CA)

Record details

NPI number1053563965
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2008
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Flagstaff