Provider Demographics
NPI:1700214905
Name:COX, GORDON LEE (MD)
Entity Type:Individual
Prefix:
First Name:GORDON
Middle Name:LEE
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GORDON
Other - Middle Name:LEE
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3209 ROCKWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-0517
Mailing Address - Country:US
Mailing Address - Phone:406-652-3718
Mailing Address - Fax:
Practice Address - Street 1:3209 ROCKWOOD CIR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-0517
Practice Address - Country:US
Practice Address - Phone:406-652-3718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-3369207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology