Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | A19761 | CA |
NPI | 1033230743 |
---|---|
Provider Name | Dr. Roger E Cox |
First Address | Lincoln, CA 95648-7700 |
Second Address | Lincoln, CA 95648-7700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |