Cody R Wilson
D.O. | Pediatrics | Male
Cody R Wilson, D.O. is a North Logan, Utah based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Cody R Wilson is
2380 N 400 E Ste C, North Logan, Utah - 84341-1756. He can be contacted on phone at
435-753-7337 and fax number 435-750-6779.
Cody R Wilson is a sole proprietor of his business.
NPI number (Unique professional ID) for Cody R Wilson is
1619202108 which was assigned by NPPES on 16 Oct, 2009 and it was last updated on 02 Oct, 2019.
Cody R Wilson license number is
8849510-1204 for Pediatrics (208000000X) in Utah.
Cody R Wilson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Cody R Wilson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Cody R Wilson |
|---|
| Credential : | D.O. |
|---|
| Gender : | Male |
|---|
Business Address:
Cody R Wilson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2380 N 400 E Ste C
North Logan, UT, 84341-1756
United States |
|---|
| Phone Number : | 435-753-7337 |
|---|
| Fax Number : | 435-750-6779 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619202108 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 16 Oct, 2009 |
|---|
| Last Updated On : | 02 Oct, 2019 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cody R Wilson are as mentioned. Primary taxonomy code for Cody R Wilson, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 8849510-1204 | UT |
| 208000000X | Pediatrics | No | 6025 | NE |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
3001 DAGGETT AVE,
KLAMATH FALLS, OR, 97601-1114
United States | KLAMATH FALLS, OR | 541-851-4800 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2380 N 400 E Ste C
North Logan, UT, 84341-1756
United States |
|---|
| Phone Number : | 435-753-7337 |
|---|
| Fax Number : | 435-750-6779 |
|---|
Business Location:
Patients can refer following map for directions to
Cody R Wilson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.