Wilbur Bala, M.D.

NPI #1245660406 in Raiford, Florida

Provider Information

NPI Number: 1245660406
Entity Type: Individual
Name: Wilbur Bala, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Nov 25, 2013
Last Updated: Nov 25, 2013

Practice Location

Address: LAWTEY CORRECTIONAL INSTITUTION
Address 2: 7819 NW 228 ST.
City: Raiford
State: Florida
ZIP Code: 32026-0001
Phone: (904) 782-2318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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