Individual
JASON LEWIS COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
213 ELM ST, MIDWEST CITY, OK 73110-4801
(405) 739-1741
Mailing address
9610 SW 17TH ST, OKLAHOMA CITY, OK 73128-1045
(405) 503-8674
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
348
OK
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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