Organization
DRAPER DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN COOKSEY (PRACTICE MANAGER)
(801) 232-6556
Entity
Organization
Contact information
Practice address
1325 W SOUTH JORDAN PKWY STE 103, SOUTH JORDAN, UT 84095-9060
(801) 232-6556
(801) 987-8467
Mailing address
1325 W SOUTH JORDAN PKWY STE 103, SOUTH JORDAN, UT 84095-9060
(801) 232-6556
(801) 987-8467
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
177611-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093224818
—
UT
Enumeration date
09/25/2017
Last updated
02/08/2020
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