Individual
ZACHARY COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
718 ALCOA RD, BENTON, AR 72015-3406
(501) 315-3344
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R099559
AR
171M00000X
Case Manager/Care Coordinator
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881963783
—
AR
Enumeration date
12/21/2011
Last updated
07/29/2016
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