Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | E-10793 | AR |
Y | 111NI0900X | Internist | E-10793 | AR |
NPI | 1003158338 |
---|---|
Provider Name | Adam David Cox |
First Address | Conway, AR 72034-4912 |
Second Address | Conway, AR 72034-4912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 17/03/2018 |