# WELLCON, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750989349
- **Authorized official:** DR. TODD R WILCOX MD (CEO)
- **Authorized official phone:** (801) 918-3692

## Contact information

- **Practice address:** 3415 S 900 W, SOUTH SALT LAKE, UT 84119-4103
- **Practice address phone:** (801) 918-3692
- **Mailing address:** 2263 E COTTONWOOD CIR, SALT LAKE CITY, UT 84117-7601
- **Mailing address phone:** (801) 918-3692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084F0202X | Forensic Psychiatry Physician | — | NULL | Yes |
| 2084F0202X | Forensic Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2020
- **Last updated:** 10/15/2020
