Individual
DR. BENJAMIN STUART WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 NORTH VERMONT AVE, SUITE 200, LOS ANGELES, CA 90029-1728
(323) 664-1814
(323) 663-1723
Mailing address
12762 LIMONITE AVE, #3E-235, EASTVALE, CA 92880-4208
(951) 427-0001
(909) 483-1063
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A92956
CA
Other
Enumeration date
02/10/2006
Last updated
09/13/2012
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