Individual
DR. DENNIS DREWE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 JANES RD, ARCATA, CA 95521-4742
(707) 822-2279
(707) 825-4988
Mailing address
3412 LETZ AVE, MCKINLEYVILLE, CA 95519-9101
(707) 822-2279
(707) 825-4988
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A44471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538363312
—
CA
01
—
1730177486
PERSONAL NPI AS PROVIDER OF SERVICE
CA
Enumeration date
10/07/2005
Last updated
05/08/2018
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