Jason T Koo in Draper - Plastic And Reconstructive Surgery
Jason T Koo - NPI 1720005317
Jason T Koo is a Plastic And Reconstructive Surgery in Draper, Utah. Jason T Koo practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Jason T Koo is 1720005317. The last update date is 2010-07-05.
Jason T Koo's current location address is 13249 Cascade Glen Dr, Draper, Utah. You can contact this provider via phone number 8015725226. The mailing address for Jason T Koo is 13249 Cascade Glen Dr, Draper, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason T Koo |
|---|---|
| Address | 13249 Cascade Glen Dr, Draper, Utah |
| Phone Number | 8015725226 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720005317 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2010-07-05 |
Provider Mailing Address Detail
| Address | 13249 Cascade Glen Dr |
|---|---|
| City | Draper |
| State | Utah (UT) |
| Post Code | 840207146 |
| Phone Number | 8015725226 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | M1188 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 173049102 | TX | -- |
Post Comment/ Review Below
What is the Jason T Koo's 1720005317?
The Jason T Koo's NPI (National Provider Identifier) Number is 1720005317. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jason T Koo is geographically located?
The Jason T Koo is physically situated at the following location: 13249 Cascade Glen Dr, Draper, UT, 840207146.
What is the area of specialization for Jason T Koo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jason T Koo is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720005317 to Jason T Koo?
The Centers for Medicare & Medicaid Services assigned the 1720005317 to Jason T Koo on 2006-07-17.
As of what date were the details pertaining to Jason T Koo last refreshed?
The information related to the Jason T Koo, including its address, specialty, and other relevant details, was last updated on 2010-07-05.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY