Individual
DIETHRA D COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5900 SOM CENTER RD STE 12123, WILLOUGHBY, OH 44094
(440) 205-0242
(440) 205-9806
Mailing address
5900 SOM CENTER RD STE 12123, WILLOUGHBY, OH 44094-3086
(440) 205-0242
(440) 205-9806
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35054360
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702789
—
OH
Enumeration date
08/10/2006
Last updated
05/15/2018
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