Provider Demographics
NPI:1205425832
Name:COX, CRYSTAL (PEER SPECIALIST)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:PEER SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4195 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-4794
Mailing Address - Country:US
Mailing Address - Phone:303-806-0933
Mailing Address - Fax:
Practice Address - Street 1:3489 W 72ND AVE STE 105
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-5314
Practice Address - Country:US
Practice Address - Phone:720-508-4876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist