# COOK CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932070331
- **Authorized official:** DR. DAVID COOK MD (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (217) 791-3670

## Contact information

- **Practice address:** 10462 S REDWOOD RD, SOUTH JORDAN, UT 84095-8501
- **Practice address phone:** (801) 606-4307
- **Practice address fax:** (801) 606-4315
- **Mailing address:** 63 E 11400 S \# 307, SANDY, UT 84070-6705
- **Mailing address phone:** (801) 606-4307
- **Mailing address fax:** (801) 606-4315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2025
- **Last updated:** 05/29/2026
