Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY R WILSON, D.O.
ActiveCODY R WILSON, D.O. is a Pediatrics healthcare provider located in NORTH LOGAN, Utah. NPI 1619202108 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · NORTH LOGAN, UT
Registration Details
- NPI Number
- 1619202108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2009 (16.783363993293 yrs)
- Last Updated
- Oct 2, 2019
- Licenses
-
8849510-1204 (UT)6025 (NE)
Practice Information
- Address
-
2380 N 400 E STE CNORTH LOGAN, UT, 843411756Browse UT providers · Browse ZIP 84341
- Phone
- 4357537337
- Fax
- 4357506779
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in NORTH LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| NINA G JORGENSEN | M.D. | 1013973031 |
| CRAIG WAYNE ARMSTRONG | M.D. | 1558328427 |
| DR. BARRETT PAUL LABRUM | D.O. | 1295996700 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.