Individual
DR. STEPHEN MARK COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
233 DAWKINS DR, LEWISBURG, WV 24901-9674
(304) 793-2059
(304) 793-2057
Mailing address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 793-3535
(304) 793-2537
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
038448
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00626238A
—
GA
Enumeration date
03/15/2006
Last updated
01/10/2017
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