Individual
RANDALL SCOTT COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3288 BELL RD, AUBURN, CA 95603-9243
(530) 886-2336
(530) 886-2337
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27265
AZ
207Y00000X
Otolaryngology Physician
Primary
C55835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463505
—
AZ
01
—
AZ0846360
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
01/04/2006
Last updated
06/25/2015
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