Cody R Wilson, DO in North Logan, UT - Pediatrics

Cody R Wilson, DO is a Pediatrics physician based in North Logan, Utah. Cody R Wilson is licensed to practice in Utah (license number 8849510-1204) and his current practice location is 2380 N 400 E Ste C, North Logan, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 753-7337.

NPI number for Cody R Wilson is 1619202108 and his current mailing address is 2380 N 400 E Ste C, North Logan, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619202108.

Contact Information

	Cody R Wilson, DO
	2380 N 400 E Ste C, North Logan, UT 84341-1756
	(435) 753-7337
	(435) 750-6779

Physician's Profile

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.

NPI Data:

NPI Number: 1619202108
Provider Enumeration Date: 10/16/2009
Last Update Date: 10/02/2019

Medical Identifiers

Medical identifiers for Cody R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619202108	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	8849510-1204 (Utah)	Primary
208000000X	Pediatrics	6025 (Nebraska)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cody R Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

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Pediatrics Doctors in North Logan, UT

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

Cody R Wilson, DO - Pediatrics in North Logan, UT