Individual
MIKEL COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1451 E WHITESIDE ST, SPRINGFIELD, MO 65804-2423
(417) 350-2244
Mailing address
1451 E WHITESIDE ST, SPRINGFIELD, MO 65804-2423
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014020451
MO
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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