Individual
MELISSA WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-3580
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(579) 532-2777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101022475
MI
207R00000X
Internal Medicine Physician
Primary
0102206165
VA
208M00000X
Hospitalist Physician
0102206165
VA
Other
Enumeration date
06/06/2016
Last updated
01/23/2024
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