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Yudi Wibisono, DO — NPI 1740711134, North Las Vegas, NV | NPI Central

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NPI 1740711134

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Yudi Wibisono, DO

NPI 1740711134 · Occupational Medicine Physician · North Las Vegas, NV

Provider details

NPI number: 1740711134
Entity type: Individual
Primary specialty: Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No
License: MRO-1647 (ID)

Specialties & taxonomies

Occupational Medicine PhysicianPrimary2083X0100XLicense OP61182777 (WA)
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000XLicense MRO-1647 (ID)
Allopathic & Osteopathic Physicians
Preventive Medicine/Occupational Environmental Medicine Physician2083P0500XLicense MRO-1647 (ID)
Allopathic & Osteopathic Physicians
Occupational Medicine Physician2083X0100XLicense 10964114-1204 (UT)
Allopathic & Osteopathic Physicians

Practice location

6900 N Pecos Rd

North Las Vegas, NV 89086-4400

Phone: (702) 791-9000

Approximate (ZIP-level) locationGet directions

More NV providers

Mailing address

6900 N Pecos Rd

North Las Vegas, NV 89086-4400

Additional practice locations (2)

391 S Chipeta Way Ste C
Salt Lake City, UT 84108-1294
Phone: (801) 581-7224
1400 Pottery Ave
Port Orchard, WA 98366-3711
Phone: (360) 895-5000
Fax: (360) 895-5060

Registry dates

Enumerated: 2017-03-27
Last updated: 2022-10-13
Certified: 2022-10-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.