Individual
MRS. BLYTHE ELIZABETH COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
555 E BROADWAY, SUITE 229, JACKSON, WY 83001
(307) 732-1039
(307) 732-1041
Mailing address
PO BOX 4771, JACKSON, WY 83001
(307) 734-9510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
379
WY
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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