Individual provider · Type 1 NPI
Jason T. Koo, MD
Plastic and Reconstructive Surgery Physician · Draper, UT
NPI number
1720005317
Active
Practice location
13249 Cascade Glen Dr
Draper, UT 84020-7146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | M1188 (TX) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1720005317
Jason T. Koo, MD's National Provider Identifier is 1720005317, issued on Jul 17, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Draper, UT. The record was last updated on Jul 5, 2010.