National Provider Identifier

Marc Luther Wilcox, MS CCC-A

Marc Luther Wilcox, MS CCC-A is listed in the NPPES registry with a primary specialty of Audiologist in Fredonia, NY and a listed phone number of (716) 673-3203.

NPI 1205855145Fredonia, NYAudiologist

Profile Overview

NPI
1205855145
Provider Type
Individual
Primary Specialty
Audiologist
Enumeration Date
July 19, 2006
Last Updated
February 20, 2013

Practice Location

  • 280 Central Ave
  • W123 Thompson Hall
  • Fredonia, NY 14063-1127

Phone: (716) 673-3203

Specialties

  • Audiologist (231H00000X)
Full Record
NPI
1205855145
Entity Type
Individual
Last Name
Wilcox
First Name
Marc
Middle Name
Luther
Credential
MS CCC-A
Mailing Street Address
280 Central Ave
Mailing Address Line 2
W123 Thompson Hall
Mailing City
Fredonia
Mailing State
NY
Mailing ZIP Code
14063-1127
Mailing Country
US
Mailing Phone
(716) 673-3203
Practice Street Address
280 Central Ave
Practice Address Line 2
W123 Thompson Hall
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063-1127
Practice Country
US
Practice Phone
(716) 673-3203
Enumeration Date
July 19, 2006
Last Updated
February 20, 2013
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Audiologist (231H00000X)