Individual
RUSSELL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 E GRANT RD, ORTHOPAEDIC BUILDING, 1ST FLOOR, TUCSON, AZ 85712-2805
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25011
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
25011
AZ
Other
Enumeration date
08/03/2005
Last updated
04/03/2019
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