Individual
GAVIN DUANE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
6661 W BELL RD STE 106B, GLENDALE, AZ 85308-3697
(480) 677-8282
(844) 470-2777
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
256757
AZ
Other
Enumeration date
04/21/2021
Last updated
11/05/2024
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