Dr Leslie W Cooper, MD - Family Medicine in Salt Lake City, UT

Dr Leslie W Cooper, MD is a Family Medicine - Sports Medicine physician based in Salt Lake City, Utah. Dr Leslie W Cooper is licensed to practice in Utah (license number 5614879-1205) and her current practice location is 420 E South Temple Ste 515, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 415-1828.

NPI number for Dr Leslie W Cooper is 1023122611 and her current mailing address is 420 E South Temple Ste 515, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023122611.

Contact Information

Dr Leslie W Cooper, MD
420 E South Temple Ste 515,
Salt Lake City, UT 84111-1380
(801) 415-1828
(801) 384-0463

Map and Direction




Physician's Profile

Full NameDr Leslie W Cooper
GenderFemale
SpecialityFamily Medicine - Sports Medicine
Location420 E South Temple Ste 515, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023122611
  • Provider Enumeration Date: 08/19/2006
  • Last Update Date: 12/12/2018

Medical Identifiers

Medical identifiers for Dr Leslie W Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023122611NPI-NPPES
735332OtherUTDMBA
D5485MedicaidUT
735332OtherUTFAMILY MEDICINE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5614879-1205 (Utah)Secondary
207QS0010XFamily Medicine - Sports Medicine 5614879-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leslie W Cooper is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Leslie W Cooper, MD
420 E South Temple Ste 515,
Salt Lake City, UT 84111-1380

Ph: (801) 415-1828
Dr Leslie W Cooper, MD
420 E South Temple Ste 515,
Salt Lake City, UT 84111-1380

Ph: (801) 415-1828

Reviews and Comments


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