Provider Demographics
NPI:1639312564
Name:COX, DIANA JEAN (RD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:JEAN
Last Name:COX
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 W CALLE MONTERO
Mailing Address - Street 2:
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629-8545
Mailing Address - Country:US
Mailing Address - Phone:520-289-5093
Mailing Address - Fax:
Practice Address - Street 1:2022 E PRINCE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2005
Practice Address - Country:US
Practice Address - Phone:520-625-0103
Practice Address - Fax:520-625-0107
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered