Individual
JUSTIN M COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2356 N 400 E STE 201, TOOELE, UT 84074-3409
(435) 882-2350
Mailing address
727 W 3460 N, ERDA, UT 84074-9364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12339394-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12339394-1206
LICENSE
UT
Enumeration date
06/17/2021
Last updated
11/17/2021
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