Individual
JEROME A COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
13555 W MCDOWELL RD, SUITE 301, GOODYEAR, AZ 85395-2629
(623) 848-0123
(623) 848-1173
Mailing address
PO BOX 25919, TEMPE, AZ 85285-5919
(480) 967-6500
(480) 967-6540
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
302
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700965
—
AZ
01
—
P4880008873
MEDICARE RR
AZ
Enumeration date
07/11/2006
Last updated
03/07/2012
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