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NPI Code Detail

MEDICARE: JULIE MARIE WILCOX M.D.

MEDICARE: JULIE MARIE WILCOX M.D.
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
12084P0800XPsychiatry PhysicianC52128CA

General Provider Information

NPI Number : 1265426852
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE MARIE WILCOX M.D.
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 805-259-6229
Fax Number :
Provider Business Practice Location Address
First Line : 5121 STOCKDALE HWY STE 275
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-2667
Country : US
Telephone Number : 661-868-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 04/26/2021

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