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NPI Code Detail

MEDICARE: DR. MARK SPENCER WILCOX MD

MEDICARE: DR. MARK SPENCER WILCOX MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianMD048911LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033117130
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK SPENCER WILCOX MD
Provider Business Mailing Address
First Line : 1000 BOWER HILL RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1873
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BOWER HILL RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1873
Country : US
Telephone Number : 412-831-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 10/10/2011

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