Individual
DENNIS M WILCOX
Active
Individual
DENNIS M WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017159110001
—
PA
01
—
12705151
BCBS
KS
05
—
200002820A
—
KS
05
—
2345457
—
OH
01
—
300134281
RXR MEDICARE
KS
01
—
341958451004
TRICARE WEST
—
01
—
341958451010
MEDICAL MUTUAL
OH
05
—
34195845104
—
NE
05
—
6409641500
—
KY
05
—
73381701
—
AZ
05
—
806480700
—
ID
Enumeration date
11/10/2005
Last updated
12/05/2011
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