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Individual

DR. LEON COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1002 W PIERCE ST, CARLSBAD, NM 88220-4075
(575) 885-3445
(575) 887-0163
Mailing address
1002 W PIERCE ST, CARLSBAD, NM 88220-4075
(575) 885-3445
(575) 887-0163

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
047
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
047
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00053017
NM
01
NM015301
BCBS
NM
01
P00065233
RR MEDICARE
NM
Enumeration date
10/06/2006
Last updated
05/19/2008
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