Physician Assistant
VENICE WILKES PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1821596073 · enumerated 2018-01-23 · record updated 2026-01-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: VENICE LOPEZ
Addresses and phones
- Practice location 412 N 200 E, LOGAN, UT, 84321-4038 (435) 713-2710 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 27128, SALT LAKE CITY, UT, 84127-0128 Fax (801) 418-0941 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License PT904 WY
- Physician Assistant 363A00000X · License 9110986 FL
- Physician Assistant 363A00000X · Primary · License 11159450-1206 UT
Published links
In this directory
Locations and evidence
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Practice location
LOGAN, UT, 843214038
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.