Provider Demographics
NPI:1487898961
Name:COX, JASON DEAN (USAF IDMT/PARAMEDIC)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:DEAN
Last Name:COX
Suffix:
Gender:M
Credentials:USAF IDMT/PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 70239
Mailing Address - Street 2:COMMAND SURGEON
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28307-0239
Mailing Address - Country:US
Mailing Address - Phone:910-243-3000
Mailing Address - Fax:910-243-0161
Practice Address - Street 1:AID STATION
Practice Address - Street 2:COMMAND SURGEON
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28307-0239
Practice Address - Country:US
Practice Address - Phone:910-243-3000
Practice Address - Fax:910-243-0161
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
P0911646146L00000X
1710I1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic