Garet Cooper, AGACNP | |
5169 S Cottonwood St, 510, Salt Lake City, UT 84107-6767 | |
(801) 507-4701 | |
Not Available |
Full Name | Garet Cooper |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 5169 S Cottonwood St, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083151500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 7091177-4405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intermountain Medical Center | Murray, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Garet Cooper, AGACNP Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Garet Cooper, AGACNP 5169 S Cottonwood St, 510, Salt Lake City, UT 84107-6767 Ph: (801) 507-4701 |
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