Individual
RANDOLPH COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 W BLUE STARR DR, CLAREMORE, OK 74017-4227
(918) 236-7956
(918) 708-1883
Mailing address
201 W BLUE STARR DR, CLAREMORE, OK 74017-4227
(918) 236-7956
(918) 708-1883
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14107
OK
207RC0000X
Cardiovascular Disease Physician
ME106933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100105400A
—
OK
Enumeration date
06/26/2006
Last updated
06/16/2011
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