Individual
DR. DALLAS C WILCOX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 E MEIGHAN BLVD, GADSDEN, AL 35903-1048
(256) 543-2273
(256) 543-2293
Mailing address
307 E MEIGHAN BLVD, GADSDEN, AL 35903-1048
(256) 543-2273
(256) 543-2293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17696
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51077710
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
08/12/2005
Last updated
06/10/2010
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