Provider Demographics
NPI:1174712764
Name:COX, WILLIAM J (CPO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:COX
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
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Mailing Address - Street 1:4626 WILLOW ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8555
Mailing Address - Country:US
Mailing Address - Phone:925-227-1306
Mailing Address - Fax:925-227-1338
Practice Address - Street 1:4626 WILLOW ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8555
Practice Address - Country:US
Practice Address - Phone:925-227-1306
Practice Address - Fax:925-227-1338
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-18
Last Update Date:2012-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
222Z00000X
CACPO02952224P00000X, 222Z00000X, 225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter