Individual
DR. STEPHEN A COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1396 N WILMOT RD, TUCSON, AZ 85712
(520) 324-2160
(520) 324-1460
Mailing address
3741 E CALLE DEL CACTO, TUCSON, AZ 85718-3341
(520) 909-8802
(520) 881-1842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28706
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
535734
—
AZ
01
—
Z136117
MEDICARE PTAN
AZ
01
—
Z158860
PTAN
—
Enumeration date
12/02/2005
Last updated
05/21/2018
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