Individual
MICHAEL COSGRAVE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1325 W SOUTH JORDAN PKWY, SUITE 102, SOUTH JORDAN, UT 84095-9060
(801) 508-3111
Mailing address
1325 W SOUTH JORDAN PKWY, SUITE 102, SOUTH JORDAN, UT 84095-9060
(801) 508-3111
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
7397727-1204
UT
Other
Enumeration date
04/16/2008
Last updated
08/06/2012
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