Search › Colorado › 207WX0107X
Brent Deibert, MD
NPI 1013437029 · on the registry since 2017
Practice
- Address
- 4745 Arapahoe Ave
Boulder, CO 80303 - Phone
- (303) 444-3000
- Fax
- (303) 444-3226
- Organisation at this address
- Cchmd Corp
Walgreen Co
Sheela Mahnke Md Llc
Nancy Kelley, Md, Llc
Boulder Biologics, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 84
Additional practice sites
- 13772 Denver West Pkwy Ste 100, Lakewood, CO
- 1810 30th St Ste B, Boulder, CO
- Medical Center Blvd, Winston Salem, NC
- 101 Erie Pkwy Ste 202, Erie, CO
Registry record
- Primary taxonomy
- 207WX0107X
207WX0107X
- Also registered as
- 207W00000X
- Licence states on file
- NC, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado