Healthcare Provider Details

I. General information

NPI: 1477540326
Provider Name (Legal Business Name): ARNOLD NORMAN COHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W 5TH AVE SUITE 622
SPOKANE WA
99204-2823
US

IV. Provider business mailing address

105 W 8TH AVE SUITE 6010
SPOKANE WA
99204-2302
US

V. Phone/Fax

Practice location:
  • Phone: 509-747-5145
  • Fax: 509-456-0062
Mailing address:
  • Phone: 509-838-5950
  • Fax: 509-838-5961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD00018212
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: