Individual
DR. STEPHEN LEE WILCOXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
228 UPPER RIVER RD, GALLIPOLIS, OH 45631-1839
(174) 044-6383
(174) 044-6379
Mailing address
228 UPPER RIVER RD, GALLIPOLIS, OH 45631-1839
(174) 044-6383
(174) 044-6379
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2569
OH
111N00000X
Chiropractor
683
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032777
—
OH
Enumeration date
03/22/2007
Last updated
07/08/2007
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