MEDICARE: CYNTHIA L COOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	871744591205	UT

General Provider Information

NPI Number	:	1114038015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA L COOR MD

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:	801-464-7788
Fax Number	:

Provider Business Practice Location Address
First Line	:	10011 S CENTENNIAL PKWY STE 350
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-4137
Country	:	US
Telephone Number	:	801-566-5350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/09/2024

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Directions to “ CYNTHIA L COOR MD” Practice Location

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