Individual
HEATHER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3570 W 9000 S STE 110, WEST JORDAN, UT 84088-8870
(208) 201-1249
Mailing address
3570 W 9000 S STE 110, WEST JORDAN, UT 84088-8870
(208) 201-1249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
10/26/2021
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