Basic Information
Provider Information
NPI: 1164050803
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COX
FirstName: EMMA
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8155 E FAIRMOUNT DR UNIT 1531
Address2:  
City: DENVER
State: CO
PostalCode: 802306836
CountryCode: US
TelephoneNumber: 4174342233
FaxNumber:  
Practice Location
Address1: 701 E HAMPDEN AVE
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801132736
CountryCode: US
TelephoneNumber: 3037889200
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/30/2020
LastUpdateDate: 01/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA.0006611COY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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