Individual
DR. PHILIP THIEM DEIBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2615 LAKE DR, SUITE 201, RALEIGH, NC 27607-6693
(919) 781-9555
(919) 781-1070
Mailing address
2615 LAKE DR, SUITE 201, RALEIGH, NC 27607-6693
(919) 781-9555
(919) 781-1070
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125056036
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
2013-00141
NC
Other
Enumeration date
07/22/2009
Last updated
12/07/2015
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