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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLAKE R WILCOCK, PA-C

Active

BLAKE R WILCOCK, PA-C is a Medical Physician Assistant healthcare provider located in GLEN DALE, West Virginia. NPI 1457139594 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · GLEN DALE, WV

Registration Details

NPI Number
1457139594
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2023 (2.8723705555881 yrs)
Last Updated
Jul 24, 2024

Practice Information

Address
800 WHEELING AVE FL 3
GLEN DALE, WV, 260381660
Browse WV providers · Browse ZIP 26038
Phone
3048450100
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in GLEN DALE, WV

Name Credential NPI
AMANDA K MOSMAN PA-C 1326122748
ALLISON VIRGINIA BADGLEY PA-C 1184172793
KENADEE WAYT PA-C 1770453029
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.