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Individual
SIMMON L WILCOX
Active
Individual
SIMMON L WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2009007880
MO
207QA0505X
Adult Medicine Physician
11588
NV
207QA0505X
Adult Medicine Physician
6968998-1205
UT
207QA0505X
Adult Medicine Physician
MD033724E
PA
208VP0000X
Pain Medicine Physician
Primary
11588
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000185023
HIGHMARK BC/BS
PA
05
—
100510116
—
NV
Enumeration date
04/17/2006
Last updated
02/24/2014
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