Individual
DR. TOM COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
3802 S 700 E, SALT LAKE CITY, UT 84106-1182
(801) 264-6000
Mailing address
4754 S APPLE CROSS WAY, MURRAY, UT 84107-3771
(801) 918-3419
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5906659-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5906659-4405
UT
Other
Enumeration date
07/23/2017
Last updated
09/19/2023
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