MEDICARE: DAVID B COHEN MD PC

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	174400000X	Specialist	6639	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1861665549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID B COHEN MD PC

Provider Business Mailing Address
First Line	:	1791 E 280 N
Second Line	:
City	:	ST GEORGE
State	:	UT
Zip	:	84790-2400
Country	:	US
Telephone Number	:	435-656-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	8230 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-8930
Country	:	US
Telephone Number	:	702-944-2001
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DAVID BENNETT COHEN
Credential	:	MD
Telephone Number	:	435-656-2020

Provider Enumeration Date	:	04/02/2008
Last Update Date	:	09/18/2008

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