Individual
DR. JEFFREY DETERICK WILCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
420 E SOUTHERN SUITE 101, MESA, AZ 85204
(480) 223-9595
(480) 833-3299
Mailing address
1726 E THOMAS RD, PHOENIX, AZ 85016-7604
(602) 222-9595
(602) 234-1211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7363
AZ
Other
Enumeration date
04/23/2008
Last updated
08/13/2021
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