Provider Demographics
NPI:1700944022
Name:COHEN, CATHRYN PHILLIPS (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHRYN
Middle Name:PHILLIPS
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3126 PROFESSIONAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-2412
Mailing Address - Country:US
Mailing Address - Phone:530-885-3767
Mailing Address - Fax:530-885-3201
Practice Address - Street 1:3126 PROFESSIONAL DR STE 300
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-2412
Practice Address - Country:US
Practice Address - Phone:530-885-3767
Practice Address - Fax:530-885-3201
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2022-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ27372207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ479205Medicaid
AZH00534Medicare UPIN