Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | 39913 | CO |
NPI | 1386667871 |
---|---|
Provider Name | Dr. Joel Lee Cohen |
First Address | Greenwood Village, CO 80111-1909 |
Second Address | Greenwood Village, CO 80111-1909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200683363-01 | PACIFICARE (01) | CO |
20683363002 | ROCKY MOUNTAIN HEALTH PLN (01) | CO |
7569266 | AETNA (01) | CO |
93151578 | (05) | CO |
C528188 | MEDICARE ID (01) | |
CO654116 | ANTHEM (01) | CO |
H53090 | (02) | CO |