| Mitchell Wasden Cooney, MD | |
|
1100 W 2700 N, Pleasant View, UT 84404-4791 | |
| (801) 475-3600 | |
| (801) 475-3601 |
| Full Name | Mitchell Wasden Cooney |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1100 W 2700 N, Pleasant View, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972186872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13823396-1205 (Utah) | Primary |
| Entity Name | Ogden Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Wasden Cooney, MD Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500 | Mitchell Wasden Cooney, MD 1100 W 2700 N, Pleasant View, UT 84404-4791 Ph: (801) 475-3600 |
Van G Christiansen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 W 2700 N, Pleasant View, UT 84404 Phone: 801-475-3600 Fax: 801-475-3601 | |
Carolyn A Belfry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 W 2700 N, Pleasant View, UT 84404 Phone: 801-475-3600 Fax: 801-475-3601 | |
Darek Eggleston, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 W 2700 N, Pleasant View, UT 84404 Phone: 801-475-3600 Fax: 801-475-3601 |