Healthcare Provider Details

I. General information

NPI: 1477606572
Provider Name (Legal Business Name): COHEN & WOMACK MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 UNION BLVD SUITE 200
LAKEWOOD CO
80228-1810
US

IV. Provider business mailing address

255 UNION BLVD SUITE 200
LAKEWOOD CO
80228-1810
US

V. Phone/Fax

Practice location:
  • Phone: 303-763-5111
  • Fax: 303-763-9520
Mailing address:
  • Phone: 303-763-5111
  • Fax: 303-763-9520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateCO

VIII. Authorized Official

Name: DR. HARVEY M COHEN
Title or Position: PHYSICIAN
Credential: MD
Phone: 303-763-5111