Provider Demographics
NPI:1356780373
Name:COX, COLBY L (DPM)
Entity type:Individual
Prefix:
First Name:COLBY
Middle Name:L
Last Name:COX
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-1868
Mailing Address - Country:US
Mailing Address - Phone:724-981-4681
Mailing Address - Fax:724-981-6681
Practice Address - Street 1:2025 E STATE ST
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-1868
Practice Address - Country:US
Practice Address - Phone:724-981-4681
Practice Address - Fax:724-981-6681
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006457213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery