Individual
ROGER A WILLCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3929 E BELL RD, PHOENIX, AZ 85032-2112
(602) 882-2914
Mailing address
317 W MONTE CRISTO AVE, PHOENIX, AZ 85023-7421
(602) 882-2914
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18765
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287327-03
—
AZ
05
—
387327-02
—
AZ
Enumeration date
07/18/2006
Last updated
02/25/2011
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