| Doctor Name: | MR. TIMOTHY A. COX |
| NPI Number: | 1043560493 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MFA |
| License Number: | 2010037166 |
| Business Practice Address: | 808 Nw Maynard Street Blue Springs, MO - 64015 |
| Business Phone Number: | 8166686488 |
| Business Fax Number: | |
| Mailing Address: | 808 Nw Maynard Street, BLUE SPRINGS |
| State: | MO |
| Postal Code: | 64015 |
| Phone Number: | 8166686488 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2012 |
| NPI Last Update Date: | 09/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZA2600X |
| License Number: | 2010037166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Art, Medical |
| Taxonomy Definition: | |