Individual
DR. CLAYTON ROSS WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-9657
(802) 847-3509
Mailing address
4 COMMON RD, WESTFORD, VT 05494-9721
(615) 636-6622
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
15-541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
567339
TEXAS MEDICAL BOARD
TX
Enumeration date
06/25/2012
Last updated
01/28/2019
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