Provider Demographics
NPI:1124137245
Name:COX, DAVID (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:COX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4002 E MAIN STREET
Mailing Address - Street 2:SUITE 1 RED MOUNTAIN ANESTHESIOLOGY
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205
Mailing Address - Country:US
Mailing Address - Phone:480-981-9151
Mailing Address - Fax:480-324-5459
Practice Address - Street 1:4002 E MAIN STREET
Practice Address - Street 2:SUITE 1 RED MOUNTAIN ANESTHESIOLOGY
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205
Practice Address - Country:US
Practice Address - Phone:480-981-9151
Practice Address - Fax:480-324-5459
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ4104207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ870635Medicaid
F89129Medicare UPIN
AZ870635Medicaid