Organization
LESLIE W COOPER MD PLLC
Active
Other names
BodyLogicMD of Salt Lake City
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE WERDER COOPER M.D. (OWNER / DOCTOR)
(866) 654-7013
Entity
Organization
Contact information
Practice address
8931 SACKETT DR, PARK CITY, UT 84098-5836
(866) 654-7013
Mailing address
8931 SACKETT DR, PARK CITY, UT 84098-5836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5614879-1205
UT
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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