Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 0780 | AZ |
N | 222Z00000X | Podiatrist | 0780 | AZ |
N | 213E00000X | Podiatrist | E10000213 | DE |
N | 222Z00000X | Podiatrist | E10000213 | DE |
Y | 213ES0103X | Foot & Ankle Surgery | 0780 | AZ |
N | 213ES0103X | Foot & Ankle Surgery | E10000213 | DE |
N | 213ES0131X | Foot Surgery | E10000213 | DE |
NPI | 1164652830 |
---|---|
Provider Name | Dr. John Todd Cox |
First Address | Prescott, AZ 86305-1433 |
Second Address | Prescott, AZ 86305-1433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2009 |
Last Update Date | 28/09/2020 |