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Individual
MARCUS T COX
Active
Individual
MARCUS T COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
907
SC
363AS0400X
Surgical Physician Assistant
Primary
A907
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449PA
—
SC
01
—
P00329302
RAILROAD MEDICARE
SC
Enumeration date
05/17/2006
Last updated
03/17/2010
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