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Organization

MMG STANSBURY FAMILY PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMERON COOPER P.A (OWNER)
(801) 827-0662
Entity
Organization

Contact information

Practice address
576 E HIGHWAY 138 STE 310, STANSBURY PK, UT 84074-4028
(801) 456-2333
(801) 456-2330
Mailing address
576 E HIGHWAY 138 STE 310, STANSBURY PK, UT 84074-4028
(801) 827-0662
(801) 827-0663

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
12/29/2022
Last updated
02/27/2025
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