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Individual

STANTON J COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1743 W 24TH ST, YUMA, AZ 85364
(928) 726-9650
(928) 726-1605
Mailing address
1743 W 24TH ST, YUMA, AZ 85364
(928) 726-9650
(928) 726-1605

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
115
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480627603
RR INDIVIDUAL #
AZ
05
700189
AZ
Enumeration date
08/14/2006
Last updated
05/15/2008
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