Leslie W Cooper MD Pllc

NPI #1447696331 in Park City, Utah

Provider Information

NPI Number: 1447696331
Entity Type: Organization
Organization Name: Leslie W Cooper MD Pllc
Primary Specialty: Specialist
Enumeration Date: May 17, 2013
Last Updated: May 17, 2013

Practice Location

Address: 8931 SACKETT DR
City: Park City
State: Utah
ZIP Code: 84098-5836
Phone: (866) 654-7013

Authorized Official

Name: DR. LESLIE WERDER COOPER, M.D.
Title: OWNER / DOCTOR
Phone: (866) 654-7013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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