Individual
ADRIENNE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84132-1287
(801) 581-7052
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84132-1287
(801) 581-7052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.070795
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
11730992-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125.070795
IDFPR
IL
Enumeration date
06/19/2017
Last updated
06/03/2020
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