NPI 1891747291 · live from the CMS NPI Registry
Vernon J Cooley, M.D.
Orthopaedic Surgery, Sports Medicine in Park City, UT. National Provider Identifier 1891747291, active.
NPI record
| NPI | 1891747291 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 1820 Sidewinder Dr, Park City, UT 84060 |
| Practice phone | 435-655-6600 |
| Mailing address | 900 Round Valley Dr, # 100, Park City, UT 84060 |
| Enumerated | May 16, 2006 |
| Last updated | October 3, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 321332-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.