Individual provider · Type 1 NPI

Brandon Cooper

Specialist · Salt Lake City, UT

NPI number 1679288336 Active

Practice location

2057 S 1200 E # N301
Salt Lake City, UT 84105-3586

Call (619) 838-9011 Map

Mailing address

2057 S 1200 E Unit N301
Salt Lake City, UT 84105-3586

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679288336

Brandon Cooper's National Provider Identifier is 1679288336, issued on Jan 17, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 17, 2023.