Individual
DR. KIM LEON COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HOSPITAL WAY, BLDG A SUITE 300, POCATELLO, ID 83201-5175
(208) 232-8792
(208) 232-8793
Mailing address
777 HOSPITAL WAY, BLDG A SUITE 300, POCATELLO, ID 83201-5175
(208) 232-8792
(208) 232-8793
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M5779
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001682
REGENCE-BLUE SHIELD OF ID
ID
05
—
003643500
—
ID
01
—
160043915
RAILROAD MEDICARE
ID
01
—
76954
BLUE CROSS OF IDAHO
ID
Enumeration date
05/16/2006
Last updated
10/07/2011
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