Healthcare Provider Details

I. General information

NPI: 1558387746
Provider Name (Legal Business Name): WILFRED WELBY COX MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 07/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12410 E SINTO AVE SUITE 101
SPOKANE VALLEY WA
99216-2199
US

IV. Provider business mailing address

117 31ST AVENUE EAST
SEATTLE WA
98112
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-2531
  • Fax:
Mailing address:
  • Phone: 206-329-4271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD0001915
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD00012915
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: