Organization
RAYMOND H. WILBERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND H WILBERS M.D. (OWNER)
(573) 581-2030
Entity
Organization
Contact information
Practice address
625 E SUMMIT ST, MEXICO, MO 65265-3294
(573) 581-2030
(573) 581-7675
Mailing address
625 E SUMMIT ST, MEXICO, MO 65265-3294
(573) 581-2030
(573) 581-7675
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500426200
—
MO
Enumeration date
09/14/2006
Last updated
04/17/2014
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