Provider Demographics
NPI:1750359642
Name:WILCOX, ROBERT TODD (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TODD
Last Name:WILCOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6965 TUTT BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-3598
Mailing Address - Country:US
Mailing Address - Phone:719-377-3477
Mailing Address - Fax:719-988-9705
Practice Address - Street 1:6965 TUTT BLVD STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-3598
Practice Address - Country:US
Practice Address - Phone:719-377-3477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO41155208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery