Provider Demographics
NPI:1851301949
Name:COX, CAROL M (MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:M
Last Name:COX
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1701 W SAINT MARYS RD
Mailing Address - Street 2:#137
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2621
Mailing Address - Country:US
Mailing Address - Phone:520-622-6415
Mailing Address - Fax:520-624-6888
Practice Address - Street 1:1701 W SAINT MARYS RD
Practice Address - Street 2:#137
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2621
Practice Address - Country:US
Practice Address - Phone:520-622-6415
Practice Address - Fax:520-624-6888
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2015-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ17284207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0830160OtherBCBS
AZCC7597OtherRR MCR
AZ411900Medicaid
AZ411900Medicaid
AZZ61955Medicare ID - Type Unspecified