Individual
MR. DEREK SHANE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARRT ( R ) , ARDMS
Contact information
Practice address
167 NORTH MAIN STREET, TUBA, AZ 86045
(928) 283-2704
Mailing address
1161 PALO VERDE PL, LAKE HAVASU CITY, AZ 86404-1462
(928) 505-1747
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
CRT-9012
AZ
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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