Individual
DR. IRA LEE COX III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19609 E 9TH ST S, INDEPENDENCE, MO 64056-3088
(816) 796-1412
(816) 796-3398
Mailing address
2701 VERONA TER, MISSION HILLS, KS 66208-1276
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-14189
KS
2085R0202X
Diagnostic Radiology Physician
R5455
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200870B
—
KS
05
—
100200870C
—
KS
05
—
100200870D
—
KS
05
—
1104820513
—
MO
05
—
203144814
—
MO
01
—
P00745614
RR MEDICARE
MO
Enumeration date
06/13/2005
Last updated
03/15/2010
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