Provider Demographics
NPI:1093789661
Name:COX, MELIA KAY (DO)
Entity Type:Individual
Prefix:
First Name:MELIA
Middle Name:KAY
Last Name:COX
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3033 N CENTRAL AVE STE 145
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2808
Mailing Address - Country:US
Mailing Address - Phone:623-583-3001
Mailing Address - Fax:623-583-3007
Practice Address - Street 1:13471 W CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2713
Practice Address - Country:US
Practice Address - Phone:877-809-5092
Practice Address - Fax:623-583-3007
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2021-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ4091207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ941121Medicaid
AZ941121Medicaid
AZBC7121736OtherDEA
IN02002129AOtherLICENSE