person
Blake R Wilcock, PA-STUDENT
Student in an Organized Health Care Education/Training Program in Wheeling, West Virginia
NPI 1457139594

Blake R Wilcock is a Student in an Organized Health Care Education/Training Program based in Wheeling, WV. Blake R Wilcock practices in Wheeling, WV and has the professional credentials of PA-STUDENT. The NPI Number for Blake R Wilcock is 1457139594 and holds a License No. (West Virginia).

The current practice location address for Blake R Wilcock is 1 Medical Park, Wheeling, WV and can be reached out via phone at 000-000-0000.

Location: 1 Medical Park, Wheeling, WV, 26003-6379
person
Provider Profile Details
NPI Number
1457139594
Provider Name
Blake R Wilcock
Credential
PA-STUDENT
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Park, Wheeling, WV, 26003-6379
Phone Number
000-000-0000
Fax Number
Provider Enumeration Date
09/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Medical Park
City
State
Zip
26003-6379
Phone Number
000-000-0000
Fax Number
person
Provider Business Mailing Address Details
Address
1 Medical Park
City
State
Zip
26003-6379
Phone Number
000-000-0000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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