MEDICARE: CHRISTOPHER W COX M.S.CCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	DA1870	AZ

General Provider Information

NPI Number	:	1184817181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER W COX M.S.CCC

Provider Business Mailing Address
First Line	:	2450 S 4TH AVE
Second Line	:	SUITE 107
City	:	YUMA
State	:	AZ
Zip	:	85364-8573
Country	:	US
Telephone Number	:	928-344-1556
Fax Number	:	928-317-3093

Provider Business Practice Location Address
First Line	:	2450 S 4TH AVE
Second Line	:	SUITE 107
City	:	YUMA
State	:	AZ
Zip	:	85364-8573
Country	:	US
Telephone Number	:	928-344-1556
Fax Number	:	928-317-3093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	08/22/2007

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