Individual
ROGER LOWELL WILCOX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-2000
(513) 612-4479
Mailing address
PO BOX 631677, CINCINNATI, OH 45263-1677
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.245319
OH
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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