Individual provider · Type 1 NPI

Miriam J. Wilbon, PA

Medical Physician Assistant · Alexandria, LA

NPI number 1629249347 Active

Practice location

3330 Masonic Dr
Alexandria, LA 71301-3841

Call (318) 487-1122 Map

Mailing address

PO Box 1502
La Place, LA 70069-1502

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist 246QM0706XG02542 (LA)
Physician Assistant 363A00000XA10315 (LA)
Medical Physician Assistant Primary 363AM0700XA10315 (LA)
Surgical Physician Assistant 363AS0400XA10315 (LA)

Medical Physician Assistant: Definition to come...

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About NPI 1629249347

Miriam J. Wilbon, PA's National Provider Identifier is 1629249347, issued on Mar 20, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Alexandria, LA. The record was last updated on Feb 22, 2017.