Peter Ray Wilcox in Susanville - Family Medicine

Peter Ray Wilcox - NPI 1043395569

Peter Ray Wilcox is a Family Medicine in Susanville, California. Peter Ray Wilcox practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Peter Ray Wilcox is 1043395569. The last update date is 2008-10-21.

Peter Ray Wilcox's current location address is 1850 Spring Ridge Dr, Susanville, California. You can contact this provider via phone number 5302579677 and fax number 5302576015. The mailing address for Peter Ray Wilcox is 1850 Spring Ridge Dr, Susanville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Ray Wilcox
Address 1850 Spring Ridge Dr, Susanville, California
Phone Number 5302579677
Fax Number 5302576015
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1043395569
Provider Enumeration Date 2006-10-25
Last Updated Date 2008-10-21

Provider Mailing Address Detail

Address 1850 Spring Ridge Dr
City Susanville
State California (CA)
Post Code 961306100
Phone Number 5302579677
Fax Number 5302576015

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No G40155
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80042465 CA RAILROAD MEDICARE

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FAQs about Peter Ray Wilcox

What is the unique 10-digit identification code assigned to Peter Ray Wilcox by the Centers for Medicare & Medicaid Services?

The Peter Ray Wilcox has been issued the NPI (National Provider Identifier) 1043395569, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Peter Ray Wilcox is physically located?

The Peter Ray Wilcox is physically situated at the following address: 1850 Spring Ridge Dr, Susanville, CA, 961306100.

What is Peter Ray Wilcox's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Peter Ray Wilcox is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did Peter Ray Wilcox receive its 1043395569 assignment from the Centers for Medicare & Medicaid Services?

The Peter Ray Wilcox was assigned its 1043395569 on 2006-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Peter Ray Wilcox last refreshed?

The information related to the Peter Ray Wilcox, including its address, specialty, and other relevant details, was last updated on 2008-10-21.

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