Whalio Doctors

NPI 1740711134

Yudi Wibisono, DO

Practitioner Occupational Medicine Physician North Las Vegas, NV

Practice location

Address
6900 N Pecos Rd, North Las Vegas, NV 89086-4400
Phone
(702) 791-9000

Registered specialties (4)

Occupational Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence OP61182777 (WA)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MRO-1647 (ID)
Preventive Medicine/Occupational Environmental Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence MRO-1647 (ID)
Occupational Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 10964114-1204 (UT)

Registry record

NPI
1740711134
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Mar 2017
Record last updated
13 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.