Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | G037342 | CA |
Y | 207N00000X | Dermatologist | G037342 | CA |
N | 207ND0900X | Dermatopathologist | G037342 | CA |
NPI | 1184611048 |
---|---|
Provider Name | Dr. Foy Wallace Cox |
First Address | Sacramento, CA 95827-2539 |
Second Address | Yuba City, CA 95991-4123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 29/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E38306 | (02) | CA |