Organization
RONALD WILCOX, DC INC.
Active
Other names
Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DALE WILCOX DC (PRESIDENT)
(360) 352-8112
Entity
Organization
Contact information
Practice address
204 PINEHURST DR SW, SUITE 103, TUMWATER, WA 98501-4500
(360) 352-8112
(360) 352-8113
Mailing address
204 PINEHURST DR SW, SUITE 103, TUMWATER, WA 98501-4500
(360) 352-8112
(360) 352-8113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NX0100X
Occupational Health Chiropractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G001002046
MEDICARE
WA
Enumeration date
01/28/2013
Last updated
04/29/2014
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