Individual
ANDREW D. COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 S 1100 E, SALT LAKE CITY, UT 84102-1500
(801) 533-2002
(801) 323-9546
Mailing address
1874 REDONDO AVE, SALT LAKE CITY, UT 84108-3118
(801) 487-2873
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
5898557-1205
UT
Other
Enumeration date
09/08/2005
Last updated
07/08/2007
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