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Individual

FLOYD WILKS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1851 MESQUITE AVE STE 210, LAKE HAVASU CITY, AZ 86403-5681
(928) 854-7540
(928) 854-2405
Mailing address
657 ISLAND DR, LAKE HAVASU CITY, AZ 86403-6943
(407) 538-9250

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
76349
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2019
Last updated
06/20/2025
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