Provider Demographics
NPI:1104038488
Name:COX, ROGER V (MD, EDD)
Entity type:Individual
Prefix:DR
First Name:ROGER
Middle Name:V
Last Name:COX
Suffix:
Gender:M
Credentials:MD, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 S POINTE CIR STE 2000
Mailing Address - Street 2:
Mailing Address - City:LAUGHLIN
Mailing Address - State:NV
Mailing Address - Zip Code:89029-0424
Mailing Address - Country:US
Mailing Address - Phone:702-791-9024
Mailing Address - Fax:702-791-9214
Practice Address - Street 1:3650 S POINTE CIR STE 200
Practice Address - Street 2:
Practice Address - City:LAUGHLIN
Practice Address - State:NV
Practice Address - Zip Code:89029-0423
Practice Address - Country:US
Practice Address - Phone:702-791-9024
Practice Address - Fax:702-791-9214
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79828207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine