Individual
DR. LESLIE W COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 E SOUTH TEMPLE STE 515, SALT LAKE CITY, UT 84111-1380
(801) 415-1828
(801) 384-0463
Mailing address
420 E SOUTH TEMPLE STE 515, SALT LAKE CITY, UT 84111-1380
(801) 415-1828
(801) 384-0463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5614879-1205
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5614879-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
735332
DMBA
UT
05
—
D5485
—
UT
Enumeration date
08/19/2006
Last updated
05/17/2026
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