Wilbur Bardon P.A.

NPI 1063565539 - Physician Assistant - 363AM0700X

NPI Details
NPI 1063565539
Gender Male
Enumeration Date 01/19/2007
Last Updated 07/27/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
2709 BLUE RIDGE RD
SUITE 320
RALEIGH NC, 27607-6462, US
Phone (919) 235-0689
Fax (919) 878-3645
Business Location
2709 BLUE RIDGE RD
SUITE 320
RALEIGH NC, 27607-6462, US
Phone (919) 235-0689
Fax (919) 878-3645
Toxanomy
Taxonomy Code 363AM0700X
License State North Carolina
License Number 0010-01378
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According to our database, Wilbur Bardon P.A. NPI is 1063565539, taxonomy code is 363AM0700X and license number is 0010-01378, license state is located at North Carolina. Wilbur Bardon P.A. physically located at 2709 Blue Ridge Rd, Raleigh NC, 27607-6462. NPI Number Wilbur Bardon P.A. has the Individual type.

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1063565539 NPI number is provided on an as is basis without warranty of any kind. 1063565539 is maintained by the National Plan & Provider Enumeration System. The contents of Wilbur Bardon P.A. are for informational purposes only.