LESLIE W COOPER MD PLLC NPI 1447696331

NPI Information

LESLIE W COOPER MD PLLC is a specialist in Park City, UT. The provider is 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. LESLIE W COOPER MD PLLC NPI is 1447696331. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bodylogicmd Of Salt Lake City.

The provider's business location address is:

8931 SACKETT DR
PARK CITY, UT
ZIP 84098-836
Phone: (866) 654-7013

The provider's authorized official is Leslie Werder Cooper .
The authorized official title is Owner / Doctor and has the following contact phone number (866) 654-7013.

The enumeration date for this NPI number is 5/17/2013 and was last updated on 5/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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