Whalio Doctors

NPI 1013437029

Brent James Deibert, MD

Practitioner Retina Specialist (Ophthalmology) Physician Boulder, CO

Practice location

Address
4745 Arapahoe Ave, Boulder, CO 80303-1080
Phone
(303) 444-3000
Fax
(303) 444-3226
Mailing address
4745 Arapahoe Ave STE 100, Boulder, CO 80303-1082

Registered specialties (2)

Retina Specialist (Ophthalmology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207WX0107X Licence DR.0070550 (CO)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 2021-01255 (NC)

Registry record

NPI
1013437029
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jun 2017
Record last updated
19 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.