| Wellcon, Inc. | |
|
3415 S 900 W South Salt Lake UT 84119-4103 | |
| (801) 918-3692 | |
| Not Available |
| Full Name | Wellcon, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Forensic Psychiatry |
| Location | 3415 S 900 W, South Salt Lake, Utah |
| Authorized Official Name and Position | Todd R Wilcox (CEO) |
| Authorized Official Contact | 8019183692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellcon, Inc. 2263 E Cottonwood Cir Salt Lake City UT 84117-7601 Ph: (801) 918-3692 | Wellcon, Inc. 3415 S 900 W South Salt Lake UT 84119-4103 Ph: (801) 918-3692 |
| NPI Number | 1750989349 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750989349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | (* (Not Available)) | Primary |
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