Organization
ENT SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORE COOPER (OFFICE MANAGER)
(435) 833-9600
Entity
Organization
Contact information
Practice address
2376 N 400 E, 202, TOOELE, UT 84074-9838
(435) 833-9600
(435) 882-4743
Mailing address
2376 N 400 E, STE 202, TOOELE, UT 84074-9838
(435) 833-9600
(435) 882-4743
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
UT
Other
Enumeration date
02/26/2008
Last updated
08/09/2010
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