Individual
CRYSTAL J COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3883 AIRWAY DR STE 120, SANTA ROSA, CA 95403-1678
(707) 521-4495
(707) 573-5421
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 521-4495
(707) 573-5421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12696
STATE MEDICAL LIC
CA
Enumeration date
07/07/2007
Last updated
08/05/2022
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