Whalio Doctors

NPI 1518453976

Cameron Cooper, PA

Practitioner Physician Assistant Stansbury Park, UT

Practice location

Address
576 E Highway 138 STE 310, Stansbury Park, UT 84074-4028
Phone
(801) 827-0662
Mailing address
2321 N 400 E STE 300, Tooele, UT 84074-3440

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 10961171-1206 (UT)

Registry record

NPI
1518453976
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jul 2018
Record last updated
9 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.