Provider Demographics
NPI:1033246673
Name:JAMES, WILBERT DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:WILBERT
Middle Name:DANIEL
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5318 CHIEF BROWN LN
Mailing Address - Street 2:
Mailing Address - City:DARRINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98241-9420
Mailing Address - Country:US
Mailing Address - Phone:360-436-0131
Mailing Address - Fax:
Practice Address - Street 1:461 G ST
Practice Address - Street 2:
Practice Address - City:FORKS
Practice Address - State:WA
Practice Address - Zip Code:98331-9025
Practice Address - Country:US
Practice Address - Phone:360-374-6224
Practice Address - Fax:360-374-6039
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00036777207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine