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Individual

PETER G. WILCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
2011 NW MYHRE PL, SILVERDALE, WA 98383-8561
(360) 830-1600
(253) 759-4699
Mailing address
2011 NW MYHRE PL, SILVERDALE, WA 98383-8561
(360) 830-1600
(253) 759-4699

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60470374
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60470374
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2038792
WA
Enumeration date
06/21/2014
Last updated
01/18/2021
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