Individual
DR. BRENT JAMES DEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4745 ARAPAHOE AVE, BOULDER, CO 80303-1080
(303) 444-3000
(303) 444-3226
Mailing address
4745 ARAPAHOE AVE STE 100, BOULDER, CO 80303-1082
(303) 444-3000
(303) 444-3226
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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