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NPI Code Detail

MEDICARE: BONNIE COX PA-C

MEDICARE:   BONNIE  COX  PA-C
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
1363A00000XPhysician AssistantC06109MD
2363A00000XPhysician Assistant1975WV
3363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1376536912
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE COX PA-C
Provider Business Mailing Address
First Line : PO BOX 97
Second Line :
City : BAKER
State : WV
Zip : 26801-0097
Country : US
Telephone Number : 304-897-5915
Fax Number :
Provider Business Practice Location Address
First Line : 422 S MAIN ST
Second Line :
City : MOOREFIELD
State : WV
Zip : 26836-1238
Country : US
Telephone Number : 304-538-2331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 02/25/2025

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Directions to “ BONNIE COX PA-C” Practice Location

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