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NPI Code Detail

MEDICARE: MARVIN G WRIGHT BS

MEDICARE: MARVIN G WRIGHT BS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1285855304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARVIN G WRIGHT BS
Provider Business Mailing Address
First Line : 700 S PENN AVE
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74003-3847
Country : US
Telephone Number : 918-337-8080
Fax Number : 918-337-8099
Provider Business Practice Location Address
First Line : 700 S PENN AVE
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74003-3847
Country : US
Telephone Number : 918-337-8080
Fax Number : 918-337-8099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 08/15/2011

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