Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody R Wilson, DO

Individual provider Pediatrics Physician · NPI 1619202108

Cody R Wilson, DO is a Pediatrics Physician in North Logan, Utah. Works from 2 locations. Licensed in Nebraska and Utah.

Licensed in
NE, UT
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2380 N 400 E Ste C
North Logan, UT 84341-1756
Phone: (435) 753-7337
Fax: (435) 750-6779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 8849510-1204 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 6025 (NE)

Record details

NPI number1619202108
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 16, 2009
Last updated in NPPESOctober 2, 2019
Mailing address2380 N 400 E Ste C, North Logan, UT 84341-1756

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