Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 9738677-1205 | UT |
N | 208600000X | Surgeon | 9738677-1205 | UT |
Y | 2086S0102X | Surgical Critical Care | 9738677-1205 | UT |
N | 2086S0127X | Trauma Surgeon | 35325 | AZ |
NPI | 1295833457 |
---|---|
Provider Name | Jordy C Cox |
First Address | Phoenix, AZ 85041-9141 |
Second Address | Murray, UT 84107-7364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 30/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3000038 | (05) | UT |