Individual
DR. DAN C WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 E ROWAN AVE STE 202, SPOKANE, WA 99207-1214
(509) 487-8000
(509) 487-6333
Mailing address
124 E ROWAN AVE, STE 202, SPOKANE, WA 99207-1214
(509) 487-8000
(509) 487-6333
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01046852A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD60187002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200137270A
—
IN
01
—
P00885647
MEDICARE RAILROAD
WA
Enumeration date
05/24/2005
Last updated
05/15/2020
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