Leslie W Cooper in Salt Lake City - Sports Medicine
Leslie W Cooper - NPI 1023122611
Leslie W Cooper is a Sports Medicine in Salt Lake City, Utah. Leslie W Cooper practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Leslie W Cooper is 1023122611. The last update date is 2018-12-12.
Leslie W Cooper's current location address is 420 E South Temple Ste 515, Salt Lake City, Utah. You can contact this provider via phone number 8014151828 and fax number 8013840463. The mailing address for Leslie W Cooper is 420 E South Temple Ste 515, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie W Cooper |
|---|---|
| Address | 420 E South Temple Ste 515, Salt Lake City, Utah |
| Phone Number | 8014151828 |
| Fax Number | 8013840463 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023122611 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2018-12-12 |
Provider Mailing Address Detail
| Address | 420 E South Temple Ste 515 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841111380 |
| Phone Number | 8014151828 |
| Fax Number | 8013840463 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 5614879-1205 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 735332 | UT | DMBA | |
| D5485 | UT | -- | |
| 735332 | UT | FAMILY MEDICINE |
Post Comment/ Review Below
What is the unique identification code assigned to Leslie W Cooper by the Centers for Medicare & Medicaid Services?
The Leslie W Cooper has been issued the NPI (National Provider Identifier) 1023122611. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Leslie W Cooper is geographically located?
The Leslie W Cooper is physically situated at the following location: 420 E South Temple Ste 515, Salt Lake City, UT, 841111380.
What is the Leslie W Cooper's specialty and taxonomy code?
The Leslie W Cooper's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.
When did the Leslie W Cooper receive its 1023122611?
The Leslie W Cooper was issued its 1023122611 on 2006-08-19, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Leslie W Cooper most recently updated or revised?
The details related to Leslie W Cooper, including its address, specialty, and other relevant information, were last updated or revised on 2018-12-12.