MEDICARE: DR. DONALD E COHEN 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
1	207Q00000X	Family Medicine Physician	13268	OK

General Provider Information

NPI Number	:	1134142482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD E COHEN MD

Provider Business Mailing Address
First Line	:	8125 S WALKER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9476
Country	:	US
Telephone Number	:	405-632-6000
Fax Number	:	405-635-8544

Provider Business Practice Location Address
First Line	:	8125 S WALKER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9476
Country	:	US
Telephone Number	:	405-632-6000
Fax Number	:	405-635-8544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

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