Provider Demographics
NPI:1649407966
Name:COX, STEPHEN J (PA-C)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:J
Last Name:COX
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:6322 S 3000 E
Mailing Address - Street 2:140
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6922
Mailing Address - Country:US
Mailing Address - Phone:801-733-9924
Mailing Address - Fax:
Practice Address - Street 1:6322 S 3000 E
Practice Address - Street 2:140
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84121-6922
Practice Address - Country:US
Practice Address - Phone:801-733-9924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1649407966Medicaid