Provider Demographics
NPI:1831351303
Name:COX, DAVID BOYD (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BOYD
Last Name:COX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 BAILEY LN
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:IL
Mailing Address - Zip Code:62812-1999
Mailing Address - Country:US
Mailing Address - Phone:618-439-3161
Mailing Address - Fax:618-435-9327
Practice Address - Street 1:201 BAILEY LN
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:IL
Practice Address - Zip Code:62812-1999
Practice Address - Country:US
Practice Address - Phone:618-439-3161
Practice Address - Fax:618-435-9327
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRL9750208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery