| Cook Clinic LLC | |
|
10462 S Redwood Rd South Jordan UT 84095-8501 | |
| (801) 606-4307 | |
| (801) 606-4315 |
| Full Name | Cook Clinic LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 10462 S Redwood Rd, South Jordan, Utah |
| Authorized Official Name and Position | David Cook (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2177913670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook Clinic LLC 63 E 11400 S # 307 Sandy UT 84070-6705 Ph: (801) 606-4307 | Cook Clinic LLC 10462 S Redwood Rd South Jordan UT 84095-8501 Ph: (801) 606-4307 |
| NPI Number | 1932070331 |
|---|---|
| Provider Enumeration Date | 09/17/2025 |
| Last Update Date | 05/29/2026 |
| Certification Date | 05/29/2026 |
| Medicare PECOS PAC ID | 8820577273 |
|---|---|
| Medicare Enrollment ID | O20260206000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932070331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | David Edward Cook |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538272133 PECOS PAC ID: 7214031392 Enrollment ID: I20240717001013 |
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