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NPI Code Detail

MEDICARE: DR. LARRY F COHLER MD

MEDICARE: DR. LARRY F COHLER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician8990NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053394148
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY F COHLER MD
Provider Business Mailing Address
First Line : PO BOX 71236
Second Line :
City : LAS VEGAS
State : NV
Zip : 89170-1236
Country : US
Telephone Number : 702-731-0022
Fax Number : 702-731-0292
Provider Business Practice Location Address
First Line : 3061 S MARYLAND PKWY
Second Line : SUITE 202
City : LAS VEGAS
State : NV
Zip : 89109-2298
Country : US
Telephone Number : 702-731-0022
Fax Number : 702-731-0292
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 10/02/2007

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