Provider Demographics
NPI:1144419995
Name:COCKS, DANIEL T (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:T
Last Name:COCKS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N DUPONT CIR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85034-1803
Mailing Address - Country:US
Mailing Address - Phone:602-293-6132
Mailing Address - Fax:
Practice Address - Street 1:111 N DUPONT CIR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-1803
Practice Address - Country:US
Practice Address - Phone:602-293-6132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic