Individual
SARAH R COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
223 HARRISON AVE, LEADVILLE, CO 80461
(719) 293-7199
(855) 861-6548
Mailing address
223 HARRISON AVE, LEADVILLE, CO 80461
(719) 293-7199
(855) 861-6548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002375
CT
363A00000X
Physician Assistant
Primary
2985
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002375
CONNECTICUT STATE DEPARTMENT OF HEALTH, PHYSICIAN ASSISTANT LICENSE NUMBER
CT
01
—
2985
STATE OF COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
01/25/2010
Last updated
08/02/2011
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