Individual
MICHAEL J DEIBOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
420 W JUBAL EARLY DR STE 200, WINCHESTER, VA 22601-6435
(540) 662-2700
(540) 662-8801
Mailing address
420 W JUBAL EARLY DR STE 200, WINCHESTER, VA 22601-6435
(540) 662-2700
(540) 662-8801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0681800575
VA
Other
Enumeration date
09/27/2006
Last updated
11/10/2022
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