Susan Nicole Cooper
Medical Specialty
Professional ID
- NPI: 1396270021
- PECOS ID: 2466721105
- Enrollment ID: I20170711003791
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2016
Medical Practices
- Organization Name: Physician Group Of Utah Inc
- Group Practice ID assigned by PECOS: 8022032234
- Number of Group Practice member: 130
Location
- Address1: 82 S 1100 E
- Address2: Suite 103
- City: Salt Lake City
- State: Utah
- Zip Code: 84102
- Phone Number: (801)505-5370
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):