Individual
MR. JUSTIN THOMAS COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4875 WARD ROAD, SUITE 600, WHEAT RIDGE, CO 80033
(303) 456-9456
(303) 463-7560
Mailing address
4875 WARD ROAD, SUITE 600, WHEAT RIDGE, CO 80033
(303) 456-9456
(303) 463-7560
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35936
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359363
—
CO
05
—
1359363
—
CO
Enumeration date
06/30/2006
Last updated
08/17/2010
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