Todd Michael Willcox, M.D.
Surgery, Plastic and Reconstructive Surgery in Tacoma, WA. Individual provider (NPI-1).
NPI number1417931007
StatusActive
Last updated in NPPESJan 18, 2021
Details
- NPI
- 1417931007
- Entity type
- Individual (NPI-1)
- Name
- Todd Michael Willcox
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2005
- Certification date
- Jan 18, 2021
- Last updated
- Jan 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | MD00042148 | WA | Yes |
Practice location
5005 Main St Ste 125Tacoma, WA 98407-3177
Phone 253-759-4522 · Fax 360-598-7505
Mailing address
5005 Main St Ste 125Tacoma, WA 98407-3177
Phone 253-759-4522 · Fax 360-598-7505
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