Individual
ANDREW R DEIBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5000
(336) 970-5298
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
200600729
NC
2085R0202X
Diagnostic Radiology Physician
Primary
39259
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904698
—
NC
Enumeration date
08/02/2006
Last updated
03/13/2024
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