Individual
KENT W COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5448 WHITE MOUNTAIN BLVD, SUITE 140, LAKESIDE, AZ 85929-5739
(928) 532-0072
(928) 532-0078
Mailing address
5448 WHITE MOUNTAIN BLVD, SUITE 140, LAKESIDE, AZ 85929-5739
(928) 532-0072
(928) 532-0078
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
24584
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153886
RAN
AZ
01
—
2245796
CCN
AZ
01
—
2Z1140
HEALTHNET
AZ
05
—
431057
—
AZ
01
—
AZ0824160
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/19/2005
Last updated
06/10/2008
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