Healthcare Provider Details

I. General information

NPI: 1124082136
Provider Name (Legal Business Name): JANEL A COX M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 11/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 GOODRICH AVE
SAINT PAUL MN
55105-3522
US

IV. Provider business mailing address

631 GOODRICH AVE
SAINT PAUL MN
55105-3522
US

V. Phone/Fax

Practice location:
  • Phone: 651-224-4255
  • Fax:
Mailing address:
  • Phone: 651-224-4255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number43891
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: