Provider Demographics
NPI:1497919773
Name:COX, CLIFFORD JOHN II (MD)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:JOHN
Last Name:COX
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3623 PRESERVE DR
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-8402
Mailing Address - Country:US
Mailing Address - Phone:734-424-2780
Mailing Address - Fax:
Practice Address - Street 1:3623 PRESERVE DR
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-8402
Practice Address - Country:US
Practice Address - Phone:734-424-2780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301034392207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology