Individual provider · Type 1 NPI

Jeffrey Deterick Wilcock, DC

Chiropractor · Mesa, AZ

NPI number 1912172883 Active

Practice location

420 E Southern Suite 101
Mesa, AZ 85204

Call (480) 223-9595 Map

Fax (480) 833-3299

Mailing address

1726 E Thomas Rd
Phoenix, AZ 85016-7604

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X7363 (AZ)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1912172883

Jeffrey Deterick Wilcock, DC's National Provider Identifier is 1912172883, issued on Apr 23, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mesa, AZ. The record was last updated on Aug 13, 2021.