Individual provider · Type 1 NPI

Wilbur Bardon, P.A.

Medical Physician Assistant · Raleigh, NC

NPI number 1063565539 Active

Practice location

2709 Blue Ridge Rd, Suite 320
Raleigh, NC 27607-6462

Call (919) 235-0689 Map

Fax (919) 878-3645

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-01378 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1063565539

Wilbur Bardon, P.A.'s National Provider Identifier is 1063565539, issued on Jan 19, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Jul 27, 2010.