Individual
DR. STEPHEN N WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 STONECREST DR, FAMILY URGENT CARE CENTER, HUNTINGTON, WV 25701-9391
(304) 525-2273
(304) 525-1148
Mailing address
1600 MEDICAL CENTER DR, HUNTINGTON, WV 25701-3656
(304) 691-8722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21041
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1809769000
—
WV
05
—
2429063
—
OH
01
—
P00372381
MEDICARE-RR PROVIDER NUMBER
WV
Enumeration date
12/05/2005
Last updated
04/14/2021
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