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Individual
DR. BRENT JAMES DEIBERT
Active
Individual
DR. BRENT JAMES DEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2021-01255
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
DR.0070550
CO
Other
Enumeration date
06/21/2017
Last updated
07/19/2023
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