Organization
GREGORY A. COX, PA-C, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ALEXANDER COX PA (PHYSICIAN ASSISTANT/MEMBER)
(928) 890-4108
Entity
Organization
Contact information
Practice address
709 W BIRCH AVE, FLAGSTAFF, AZ 86001-4417
(928) 890-4108
Mailing address
709 W BIRCH AVE, FLAGSTAFF, AZ 86001-4417
(928) 890-4108
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
AZ4209
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376197
—
AZ
01
—
Z125054
MEDICARE
—
Enumeration date
10/24/2012
Last updated
10/24/2012
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