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General NPI Number Information
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NPI Number | 1730177486
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Entity Type | Individual
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Provider Name | DENNIS DREWE WILCOX M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 3800 JANES RD
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City | ARCATA
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State | CA
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Zip | 95521-4742
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Country | US
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Telephone | 707-822-2279
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Fax | 707-825-4988
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Provider Business Mailing Address
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Address Line | 3412 LETZ AVE
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-9101
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Country | US
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Telephone | 707-822-2279
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Fax | 707-825-4988
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A44471
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License Number State | CA
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