Organization
ANDREW D COOPER MD PC
Active
Other names
COMPREHENSIVE ORTHOPEDIC SPECIALISTS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERILYN HARRIS (OFFICE MANAGER)
(801) 533-2002
Entity
Organization
Contact information
Practice address
82 S 1100 E, SUITE 303, SALT LAKE CITY, UT 84102-1686
(801) 533-2002
(801) 323-9546
Mailing address
82 S 1100 E, SUITE 303, SALT LAKE CITY, UT 84102-1686
(801) 533-2002
(801) 323-9546
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529371393001
—
UT
Enumeration date
06/12/2008
Last updated
06/12/2008
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