Individual provider · Type 1 NPI

Cody R. Wilson, DO

Pediatrics Physician · North Logan, UT

NPI number 1619202108 Active

Practice location

2380 N 400 E Ste C
North Logan, UT 84341-1756

Fax (435) 750-6779

Other practice locations

  • 3001 Daggett Ave, Klamath Falls, OR 97601-1114 · (541) 851-4800

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X8849510-1204 (UT)
Pediatrics Physician 208000000X6025 (NE)

Pediatrics Physician: A pediatrician 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 de…

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About NPI 1619202108

Cody R. Wilson, DO's National Provider Identifier is 1619202108, issued on Oct 16, 2009. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in North Logan, UT. The record was last updated on Oct 2, 2019.