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NPI Code Detail

MEDICARE: CYNTHIA L COOR MD

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
1208000000XPediatrics Physician871744591205UT

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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