MEDICARE: LARRY F COHLER MD LTD

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

General Provider Information

NPI Number	:	1851579395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARRY F COHLER MD LTD

Provider Business Mailing Address
First Line	:	3061 S MARYLAND PKWY STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-6227
Country	:	US
Telephone Number	:	702-731-0022
Fax Number	:

Provider Business Practice Location Address
First Line	:	3061 S MARYLAND PKWY STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-6227
Country	:	US
Telephone Number	:	702-731-0022
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LARRY F COHLER
Credential	:	MD
Telephone Number	:	702-731-0022

Provider Enumeration Date	:	02/07/2008
Last Update Date	:	02/07/2008

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