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Individual

BRIAN D WILCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
748 QUINCY AVE, STE 2A, SCRANTON, PA 18510-1739
(570) 961-0851
(570) 344-4285
Mailing address
748 QUINCY AVE, SUITE 2A, SCRANTON, PA 18510-1739
(570) 961-0851
(570) 344-4285

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD422523
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101387848
PA
Enumeration date
10/24/2005
Last updated
07/29/2021
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