Organization
KENT WALTER COX MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT W. COX M.D. (OWNER)
(928) 532-0072
Entity
Organization
Contact information
Practice address
5448 WHITE MOUNTAIN BLVD, SUITE 140, LAKESIDE, AZ 85929-5739
(928) 532-0072
(928) 532-0078
Mailing address
5448 WHITE MOUNTAIN BLVD, SUITE 140, LAKESIDE, AZ 85929-5739
(928) 532-0072
(928) 532-0078
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
24584
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431057
—
AZ
Enumeration date
06/10/2008
Last updated
06/10/2008
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