Provider Demographics
NPI:1124365002
Name:COX, WAYNE MEVEN (D,C)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:MEVEN
Last Name:COX
Suffix:
Gender:M
Credentials:D,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 842867
Mailing Address - Street 2:
Mailing Address - City:HILDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84784-2867
Mailing Address - Country:US
Mailing Address - Phone:435-574-7485
Mailing Address - Fax:
Practice Address - Street 1:435 N 1680 E
Practice Address - Street 2:SUITE 6
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-8601
Practice Address - Country:US
Practice Address - Phone:435-574-7485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8519236-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor