Individual
DEBORAH ANN DIPERSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1705 GARDNER DR, WILMINGTON, NC 28405-8873
(910) 343-5300
Mailing address
1705 GARDNER DR, WILMINGTON, NC 28405-8873
(910) 343-5300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9400472
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913324
—
NC
Enumeration date
08/09/2005
Last updated
04/27/2022
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