Brandon Cooper
NPI #1679288336 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1679288336
- Entity Type
- Individual
- Name
- Brandon Cooper
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 17, 2023
- Last Updated
- Jan 17, 2023
Practice Location
- Address
- 2057 S 1200 E # N301
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84105-3586
- Phone
- (619) 838-9011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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