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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. YUDI WIBISONO, DO

Active

DR. YUDI WIBISONO, DO is a Occupational Medicine healthcare provider located in NORTH LAS VEGAS, Nevada. NPI 1740711134 is currently active in the NPPES registry. Verify at CMS.

Occupational Medicine · NORTH LAS VEGAS, NV

Registration Details

NPI Number
1740711134
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2017 (9.3566199794609 yrs)
Last Updated
Oct 13, 2022
Licenses
MRO-1647 (ID)
MRO-1647 (ID)
10964114-1204 (UT)
OP61182777 (WA)

Practice Information

Address
6900 N PECOS RD
NORTH LAS VEGAS, NV, 890864400
Browse NV providers · Browse ZIP 89086
Phone
7027919000
Primary Specialty
Occupational Medicine
2083X0100X
Additional Specialty
Preventive Medicine
Additional Specialty
Occupational Medicine
Additional Specialty
Occupational Medicine

Other Occupational Medicine Providers in NORTH LAS VEGAS, NV

Name Credential NPI
AMIR K. NICKNAM M.D. 1063530434
DR. JEFF C MOON D.O. 1366561227
JUDITH L SALZ M.D. 1104095025
DR. PING GAO M.D., M.P.H. 1134387905
IJEOMA OHADUGHA MD, MSPH 1720643141
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.