Individual
GARY L COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1619 N GREENWOOD ST, SUITE 402, PUEBLO, CO 81003-2644
(719) 595-7760
(719) 595-7765
Mailing address
1619 N GREENWOOD ST STE 402, PUEBLO, CO 81003-2658
(719) 595-7760
(719) 595-7765
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
43659
CO
2084N0400X
Neurology Physician
9971268
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76657787
—
CO
Enumeration date
06/05/2006
Last updated
09/25/2025
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