Individual
DR. CARROLL J. DIEBOLD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE ROAD, DEPARTMENT OF PSYCHIATRY (MCHK-PS), TRIPLER ARMY MEDICAL CENTER, HI 96859-5000
(808) 433-6406
(808) 433-4591
Mailing address
95-518 POIKI PL, MILILANI, HI 96789-1882
(808) 433-6406
(808) 433-4591
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
MD045522E
PA
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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