Individual
CLYDE W WILCOX JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6330 N CENTER DR, BLDG 13 STE 220, NORFOLK, VA 23502-4008
(757) 466-0089
(757) 466-8017
Mailing address
6330 N CENTER DR, BLDG 13 STE 220, NORFOLK, VA 23502-4008
(757) 466-0089
(757) 466-8017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101028216
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7229321
—
VA
Enumeration date
12/16/2005
Last updated
07/08/2007
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