Basic Information
Provider Information
NPI: 1417155169
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COX
FirstName: APRIL
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2652 N BROUILETTE RD
Address2:  
City: VINCENNES
State: IN
PostalCode: 475919034
CountryCode: US
TelephoneNumber: 2489092440
FaxNumber:  
Practice Location
Address1: 520 S 7TH ST
Address2:  
City: VINCENNES
State: IN
PostalCode: 475911038
CountryCode: US
TelephoneNumber: 8128825220
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/04/2007
LastUpdateDate: 06/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X2020003934MON Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X5101017293MIN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X02004182AINY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085B0100X02004182AINN Allopathic & Osteopathic PhysiciansRadiologyBody Imaging
2085B0100X036132832ILN Allopathic & Osteopathic PhysiciansRadiologyBody Imaging

No ID Information.


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