Individual
DR. RUSSELL J COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
520 S. GRAND AVE., SUITE 3, MT PLEASANT, IA 52641-1834
(319) 385-1430
(319) 385-1431
Mailing address
520 S. GRAND AVE., MT PLEASANT, IA 52641-1834
(319) 385-1430
(319) 385-1431
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05684
IA
111N00000X
Chiropractor
A5684
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42464
BLUE CROSS BLUE SHIELD
IA
01
—
IB1972001
MEDICARE PTAN
—
Enumeration date
07/28/2006
Last updated
06/06/2011
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