Individual
WILLIAM COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.AC.O.M., L.AC.
Contact information
Practice address
434 JUAN CT, MOAB, UT 84532-2125
(435) 260-8005
Mailing address
434 JUAN CT, MOAB, UT 84532-2125
(435) 260-8005
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
368174-1201
UT
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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