Organization
PERRY L WILBUR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY L WILBUR MD (OWNER)
(870) 424-3545
Entity
Organization
Contact information
Practice address
505 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2912
(870) 424-3545
(870) 424-3546
Mailing address
505 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2912
(870) 424-3545
(870) 424-3546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C-7167
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115794001
—
AR
Enumeration date
05/16/2007
Last updated
04/14/2014
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