Provider Demographics
NPI:1598007098
Name:COX, JOHN G (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:G
Last Name:COX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4461 E CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-5537
Mailing Address - Country:US
Mailing Address - Phone:702-791-9050
Mailing Address - Fax:702-464-3429
Practice Address - Street 1:4461 E CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-5537
Practice Address - Country:US
Practice Address - Phone:702-791-9050
Practice Address - Fax:702-464-3429
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13320306-1204207Q00000X
NV2138207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine