Provider Demographics
NPI:1114996741
Name:COX, JON P (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:P
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1919 S WHEELING AVE
Mailing Address - Street 2:402
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5638
Mailing Address - Country:US
Mailing Address - Phone:918-748-7877
Mailing Address - Fax:918-403-6305
Practice Address - Street 1:1919 S WHEELING AVE
Practice Address - Street 2:402
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104
Practice Address - Country:US
Practice Address - Phone:918-748-7877
Practice Address - Fax:918-403-6305
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2018-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK18952207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100156310AMedicaid
OK100156310AMedicaid