Individual
RYAN L COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 E MALL DRIVE, ST. GEORGE, UT 84790
(435) 251-2900
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
39616
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
11831272-1205
UT
207RC0001X
Clinical Cardiac Electrophysiology Physician
39616-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32543000
—
WI
Enumeration date
03/02/2006
Last updated
09/14/2021
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