Individual
GARY H COX II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1078
(417) 347-1079
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-1078
(417) 347-1079
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
155397
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200052030A
—
OK
05
—
200310190A
—
KS
05
—
919367607
—
MO
01
—
P00215075
RR MEDICARE
—
Enumeration date
05/23/2006
Last updated
09/10/2010
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