Individual
WILBUR BARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2709 BLUE RIDGE RD, SUITE 320, RALEIGH, NC 27607-6462
(919) 235-0689
(919) 878-3645
Mailing address
2709 BLUE RIDGE RD, SUITE 320, RALEIGH, NC 27607-6462
(919) 235-0689
(919) 878-3645
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-01378
NC
Other
Enumeration date
01/19/2007
Last updated
07/27/2010
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