Healthcare Provider Details

I. General information

NPI: 1770267932
Provider Name (Legal Business Name): ANNA WILCOX MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 UNIVERSITY BLVD
AMES IA
50010-8676
US

IV. Provider business mailing address

1215 DUFF AVE
AMES IA
50010-5469
US

V. Phone/Fax

Practice location:
  • Phone: 515-239-3100
  • Fax: 515-239-3045
Mailing address:
  • Phone: 515-239-4418
  • Fax: 515-956-4170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-55770
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: