Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 8027 | AZ |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 8027 | AZ |
NPI | 1184719791 |
---|---|
Provider Name | Joel G Cohen |
First Address | Scottsdale, AZ 85251-6443 |
Second Address | Scottsdale, AZ 85251-6443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 06/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D36689 | (02) | AZ |