Individual
DAVID COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(816) 214-5548
Mailing address
3707 RUYSSER RD, KANSAS CITY, MO 64137-1824
(610) 639-5034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20180344674
MO
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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