Individual
MR. MARK DALE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 528-4600
Mailing address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WV610D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150176000
—
WV
Enumeration date
05/19/2006
Last updated
08/23/2019
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