person
Dr. Jason T Koo, MD
Plastic and Reconstructive Surgery Physician in Draper, Utah
NPI 1720005317

Jason T Koo is a Plastic and Reconstructive Surgery Physician based in Draper, UT and is specialized in Plastic and Reconstructive Surgery. Jason T Koo practices in Draper, UT and has the professional credentials of MD. The NPI Number for Jason T Koo is 1720005317 and holds a License No. M1188 (Utah).

The current practice location address for Jason T Koo is 13249 Cascade Glen Dr, Draper, UT and can be reached out via phone at 801-572-5226.

Location: 13249 Cascade Glen Dr, Draper, UT, 84020-7146
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Provider Profile Details
NPI Number
1720005317
Provider Name
Jason T Koo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13249 Cascade Glen Dr, Draper, UT, 84020-7146
Phone Number
801-572-5226
Fax Number
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
173049102 05 TX
institution
Provider Business Practice Location Address Details
Address
13249 Cascade Glen Dr
City
State
Zip
84020-7146
Phone Number
801-572-5226
Fax Number
person
Provider Business Mailing Address Details
Address
13249 Cascade Glen Dr
City
State
Zip
84020-7146
Phone Number
801-572-5226
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
M1188 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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