Individual
ANNABELLE EVANS WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 587-7689
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13335479-1206
UT
363AM0700X
Medical Physician Assistant
5530
CT
Other
Enumeration date
10/05/2021
Last updated
03/04/2024
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