Provider Demographics
NPI:1386712008
Name:COHEN, DAVID NEMSER (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NEMSER
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 E ROWAN
Mailing Address - Street 2:SUITE #107
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1240
Mailing Address - Country:US
Mailing Address - Phone:509-484-5710
Mailing Address - Fax:509-487-1000
Practice Address - Street 1:235 E ROWAN STE #107
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1240
Practice Address - Country:US
Practice Address - Phone:509-484-5710
Practice Address - Fax:509-487-1000
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00014331207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1177708Medicaid
17360OtherL & I
WA1177708Medicaid