Individual
GARET COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
5169 S COTTONWOOD ST, 510, SALT LAKE CITY, UT 84107-6767
(801) 507-4701
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7091177-4405
UT
Other
Enumeration date
01/22/2017
Last updated
05/01/2017
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