Individual
DR. JESSE D COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 E VIRGINIA AVE STE 210, PHOENIX, AZ 85004-1210
(602) 253-5993
(602) 253-4254
Mailing address
333 E VIRGINIA AVE STE 210, PHOENIX, AZ 85004-1210
(602) 253-5993
(602) 253-4254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9868
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201062
—
AZ
Enumeration date
02/01/2007
Last updated
07/09/2007
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