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Individual

DR. KATHIE ELLEN COOPERSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5495 S 500 E, STE 120, OGDEN, UT 84405-6923
(801) 479-0174
(801) 479-8888
Mailing address
5495 S 500 E, STE 120, OGDEN, UT 84405-6923
(801) 479-0174
(801) 479-8888

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
181607-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
841409599001
UT
Enumeration date
09/21/2006
Last updated
07/08/2007
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