Doctor Name: | STEPHEN MATTHEW COX |
NPI Number: | 1194066027 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 0102203895 |
Business Practice Address: | 937 Franklin Blvd Lemoore, CA - 932464700 |
Business Phone Number: | 5599984481 |
Business Fax Number: | |
Mailing Address: | 1702 L St Unit 102, FRESNO |
State: | CA |
Postal Code: | 937211144 |
Phone Number: | 5309089111 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2013 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0102203895 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |