Organization
SIERRA VISTA FAMILY FOOTCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD FRED COHEN D.P.M. (PRESIDENT/CEO)
(520) 803-0509
Entity
Organization
Contact information
Practice address
4235 S MOHAVE DR, SIERRA VISTA, AZ 85650-8429
(520) 803-0509
Mailing address
PO BOX 3345, SIERRA VISTA, AZ 85636-3345
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0430
AZ
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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