Provider Information for 1033425723
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CASEY D COX
Sex: Male
NPI: 1033425723
Last Updated: 2010-08-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1033425723 | ||||||||
| Enumeration Date | 2010-08-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2485 W SPRING WATER ST SPRINGFIELD, MO 65803-7732 United States Phone: 417-234-1195 | Fax: | ||||||||
| Primary Practice Address | 2485 W SPRING WATER ST SPRINGFIELD, MO 65803-7732 United States Phone: 417-234-1195 | Fax: | ||||||||
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