Bruce Jordan Wilbur in Vallejo - Family Medicine
Bruce Jordan Wilbur - NPI 1619094687
Bruce Jordan Wilbur is a Family Medicine in Vallejo, California. Bruce Jordan Wilbur practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bruce Jordan Wilbur is 1619094687. The last update date is 2010-10-14.
Bruce Jordan Wilbur's current location address is 160 Glen Cove Marina Rd, Vallejo, California. You can contact this provider via phone number 7076385700 and fax number 7076385750. The mailing address for Bruce Jordan Wilbur is 160 Glen Cove Marina Rd, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Jordan Wilbur |
|---|---|
| Address | 160 Glen Cove Marina Rd, Vallejo, California |
| Phone Number | 7076385700 |
| Fax Number | 7076385750 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619094687 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2010-10-14 |
Provider Mailing Address Detail
| Address | 160 Glen Cove Marina Rd |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 94591 |
| Phone Number | 7076385700 |
| Fax Number | 7076385750 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G77764 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code assigned to Bruce Jordan Wilbur by the Centers for Medicare & Medicaid Services?
The Bruce Jordan Wilbur has been issued the NPI (National Provider Identifier) 1619094687 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bruce Jordan Wilbur is located?
The Bruce Jordan Wilbur is situated at the following address: 160 Glen Cove Marina Rd, Vallejo, CA, 94591.
What is the Bruce Jordan Wilbur's specialty and taxonomy code?
The Bruce Jordan Wilbur's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619094687 to Bruce Jordan Wilbur?
The Bruce Jordan Wilbur received its 1619094687 assignment from the Centers for Medicare & Medicaid Services on 2007-03-23.
As of what date were the details related to Bruce Jordan Wilbur most recently updated or revised?
The information pertaining to Bruce Jordan Wilbur, including its address, specialty, and other relevant details, was last updated or revised on 2010-10-14.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN