Individual
SCOTT WILBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 MAPLE STREET, MEDFORD, OR 97520-1552
(541) 201-4000
(330) 375-3769
Mailing address
PO BOX 4749, MEDFORD, OR 97501-0227
(541) 789-4111
(541) 789-5518
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35067329
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138493
ANTHEM
OH
05
—
0199539
—
OH
01
—
341779226002
MED MUT OF OH/ 1 OF 3
OH
01
—
341779226003
MED MUT OF OH/ 2 OF 3
OH
01
—
341779226006
MED MUT OF OH/ 3 OF 3
OH
01
—
341779226W
SUMMACARE
OH
01
—
61641
UNITED HEALTHCARE
OH
01
—
990002104
RR MEDICARE
OH
Enumeration date
05/24/2006
Last updated
02/20/2017
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