Individual
PAULA JANE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
382 W CARE CAMPUS DR, MOAB, UT 84532-2331
(435) 719-3970
Mailing address
1175 E CUTLER RD, SALT LAKE CITY, UT 84106-2471
(801) 671-2454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7058868-1205
UT
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
7058868-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922209386
—
UT
Enumeration date
05/31/2007
Last updated
11/28/2022
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