Ryan L Cooley
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
2825 E Mall Drive
StGeorge
, Utah 84790
Ryan L Cooley
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
2825 E Mall Drive
StGeorge
, Utah 84790
(801) 418-0941
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Ryan L Cooley
- 1055 N 500 W
- Provo, UT
- Zip : 84604-3305
- Fax : (801) 418-0941
- Phone : (801) 354-8225
Second Address
- Ryan L Cooley
- 2825 E Mall Drive
- St. George, UT
- Zip : 84790
- Phone : (435) 251-2900
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 39616 | WI |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 11831272-1205 | UT |
| N | 207RC0001X | Clinical Cardiac Electrophysiologist | 39616-020 | WI |
National Provider Identifier
| NPI | 1255308813 |
|---|---|
| Provider Name | Ryan L Cooley |
| First Address | Provo, UT 84604-3305 |
| Second Address | St. George, UT 84790 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2006 |
| Last Update Date | 14/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 32543000 | (05) | WI |
| G15254 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.