Organization
COHEN AND COHEN CARDIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH COHEN (PRESIDENT)
(918) 269-7521
Entity
Organization
Contact information
Practice address
201 W BLUE STARR DR, CLAREMORE, OK 74017-4227
(918) 236-7956
Mailing address
201 W BLUE STARR DR, CLAREMORE, OK 74017-4227
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14107
OK
207RC0000X
Cardiovascular Disease Physician
16256
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100105400A
—
OK
Enumeration date
05/17/2011
Last updated
05/17/2011
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