Individual
DR. BRUCE JORDAN WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 GLEN COVE MARINA RD, SUITE103, VALLEJO, CA 94591
(707) 638-5700
(707) 638-5750
Mailing address
160 GLEN COVE MARINA RD, SUITE103, VALLEJO, CA 94591
(707) 638-5700
(707) 638-5750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G77764
CA
Other
Enumeration date
03/23/2007
Last updated
10/14/2010
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