Individual
DR. VERNON J COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1820 SIDEWINDER DR, PARK CITY, UT 84060-7492
(435) 655-6600
(435) 655-2388
Mailing address
900 ROUND VALLEY DR, # 100, PARK CITY, UT 84060-7552
(435) 655-6600
(435) 655-2388
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
321332-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-00136
UNITED HEALTH CARE
UT
01
—
107007620101
SELECT HEALTH PLANS
UT
01
—
187251500
US DEPT OF LABOR
UT
01
—
60842
PUBLIC EMPLOYEES HEALTH P
UT
01
—
841433992CO1
EDUCATORS MUTUAL
UT
01
—
TPRA09041
MOLINA ADVANTAGE
UT
Enumeration date
05/16/2006
Last updated
10/03/2018
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