# WILBER & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679520464
- **Authorized official:** MRS. MICHELLE WATTLE (MEDICAL BILLING REP)
- **Authorized official phone:** (209) 575-4575

## Contact information

- **Practice address:** 1165 MONTGOMERY DR, PATHOLOGY DEPARTMENT, SANTA ROSA, CA 95405-4801
- **Practice address phone:** (209) 575-4575
- **Mailing address:** PO BOX 4978, MODESTO, CA 95352-4978
- **Mailing address phone:** (209) 575-4575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 01/29/2008
