Provider Demographics
NPI:1669854840
Name:COX, JEREMIAH J (MD)
Entity Type:Individual
Prefix:DR
First Name:JEREMIAH
Middle Name:J
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:755 DUNN RD STE 130
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-1751
Mailing Address - Country:US
Mailing Address - Phone:314-872-9192
Mailing Address - Fax:314-251-4234
Practice Address - Street 1:755 DUNN RD STE 130
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1751
Practice Address - Country:US
Practice Address - Phone:314-872-9192
Practice Address - Fax:314-251-4234
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2015020133207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology