Search › Utah › 208000000X
Cody Wilson, D.O
NPI 1619202108 · on the registry since 2009
Practice
- Address
- 2380 N 400 E Ste C
North Logan, UT 84341 - Phone
- (435) 753-7337
- Fax
- (435) 750-6779
- Organisation at this address
- Philrich Inc
Phil Rich Inc
Salt Lake City Vamc
Wood Wound Care, Llc
Primary Care PediatricsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 3001 Daggett Ave, Klamath Falls, OR
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208000000X
- Licence states on file
- UT, NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah