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Individual

BENJAMIN R COX

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-5101
(712) 225-6870
Mailing address
300 SIOUX VALLEY DR, CHEROKEE, IA 51012-1205
(712) 225-5101
(712) 225-6870

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D103296
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0469973
IA
01
39757
BLUE CROSS BLUE SHIELD #
IA
Enumeration date
02/28/2006
Last updated
07/09/2007
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