Organization
WILCOX GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN WILCOX (OWNER)
(253) 222-3703
Entity
Organization
Contact information
Practice address
2604 JACK PINE ST, BELLEVUE, NE 68123-1513
(253) 222-3703
Mailing address
2604 JACK PINE ST, BELLEVUE, NE 68123-1513
(253) 222-3703
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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