DR. YUDI WIBISONO (DO) – Occupational Medicine Physician, NPI 1740711134
Occupational Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. YUDI WIBISONO (DO)
1400 Pottery Ave
Port Orchard, WA 983663711
Phone: (360) 895-5000
Fax: (360) 895-5060
Type: Location
391 S CHIPETA WAY STE C
SALT LAKE CITY, UT 841081294
Phone: (801) 581-7224
Type: Location
391 S Chipeta Way Ste C
Salt Lake City, UT 841081294
Phone: (801) 581-7224
Type: Location
6900 N PECOS RD
NORTH LAS VEGAS, NV 890864400
Phone: (702) 791-9000
Type: Mailing
1400 POTTERY AVE
PORT ORCHARD, WA 983663711
Phone: (360) 895-5000
Fax: (360) 895-5060
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98366)
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