| Cody R Wilson, DO | |
|
2380 N 400 E Ste C, North Logan, UT 84341-1756 | |
| (435) 753-7337 | |
| (435) 750-6779 |
| Full Name | Cody R Wilson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2380 N 400 E Ste C, North Logan, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619202108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 8849510-1204 (Utah) | Primary |
| 208000000X | Pediatrics | 6025 (Nebraska) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Cody R Wilson, DO 2380 N 400 E Ste C, North Logan, UT 84341-1756 Ph: (435) 753-7337 | Cody R Wilson, DO 2380 N 400 E Ste C, North Logan, UT 84341-1756 Ph: (435) 753-7337 |
Nina G Jorgensen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2380 N 400 E, Ste C, North Logan, UT 84341 Phone: 435-753-7337 Fax: 435-750-6779 | |
Dr. Barrett Paul Labrum, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2380 N 400 E, North Logan, UT 84341 Phone: 435-753-7337 Fax: 435-750-6779 | |
Craig Wayne Armstrong, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2380 N 400 E, Suite C, North Logan, UT 84341 Phone: 435-753-7337 Fax: 435-750-6779 | |
Glen Forrest Huff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2380 N 400 E, Ste C, North Logan, UT 84341 Phone: 435-753-7337 |