Individual
BRANDON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2057 S 1200 E # N301, SALT LAKE CITY, UT 84105-3586
(619) 838-9011
Mailing address
2057 S 1200 E UNIT N301, SALT LAKE CITY, UT 84105-3586
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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