NPI 1083821318

Derek Shane Cox, ARRTRARDMS

Practitioner Sonography Radiologic Technologist Tuba, AZ

Practice location

Address: 167 North Main Street, Tuba, AZ 86045
Phone: (928) 283-2704
Mailing address: 1161 Palo Verde Pl, Lake Havasu City, AZ 86404-1462

Registered specialties

Sonography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471S1302X Licence CRT-9012 (AZ)

Other Radiologic Technologist providers in Arizona →

Registry record

NPI: 1083821318
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.