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Individual

DR. TERRI R COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
424 N UNIVERSITY AVE, LITTLE ROCK, AR 72205
(501) 664-8888
(501) 664-3106
Mailing address
424 N UNIVERSITY AVE, LITTLE ROCK, AR 72205
(501) 664-8888
(501) 664-3106

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
105
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112328717
AR
01
14172000010
QUAL CHOICE OF ARKANSAS
01
480022176
RAILROAD MEDICARE
AR
Enumeration date
04/13/2006
Last updated
08/02/2010
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