Wilbur Bardon in Raleigh - Medical

Wilbur Bardon - NPI 1063565539

Wilbur Bardon is a Medical in Raleigh, North Carolina. Wilbur Bardon practices all healthcare services and medical treatments related to Medical. The NPI Number for Wilbur Bardon is 1063565539. The last update date is 2010-07-27.

Wilbur Bardon's current location address is 2709 Blue Ridge Rd, Raleigh, North Carolina. You can contact this provider via phone number 9192350689 and fax number 9198783645. The mailing address for Wilbur Bardon is 2709 Blue Ridge Rd, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Wilbur Bardon
Address 2709 Blue Ridge Rd, Raleigh, North Carolina
Phone Number 9192350689
Fax Number 9198783645
Sole Proprietor Y
Credentials P.A.

NPI Number Detail

NPI Number 1063565539
Provider Enumeration Date 2007-01-19
Last Updated Date 2010-07-27

Provider Mailing Address Detail

Address 2709 Blue Ridge Rd
City Raleigh
State North Carolina (NC)
Post Code 276076462
Phone Number 9192350689
Fax Number 9198783645

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 0010-01378
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Wilbur Bardon

What is the Wilbur Bardon's unique identification number?

The Wilbur Bardon has been assigned the NPI (National Provider Identifier) Number 1063565539 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Wilbur Bardon is located?

The Wilbur Bardon is situated at the following address: 2709 Blue Ridge Rd, Raleigh, NC, 276076462.

What is Wilbur Bardon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Wilbur Bardon's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1063565539 to Wilbur Bardon?

The Centers for Medicare & Medicaid Services assigned the 1063565539 to Wilbur Bardon on 2007-01-19.

As of what date were the details pertaining to Wilbur Bardon last refreshed?

The information related to the Wilbur Bardon, including its address, specialty, and other relevant details, was last updated on 2010-07-27.

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