MEDICARE: TIMOTHY F WRIGHT, MD

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
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1306805221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMOTHY F WRIGHT, MD

Provider Business Mailing Address
First Line	:	5404 SW LEE BLVD
Second Line	:
City	:	LAWTON
State	:	OK
Zip	:	73505-9521
Country	:	US
Telephone Number	:	580-536-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	5404 SW LEE BLVD
Second Line	:
City	:	LAWTON
State	:	OK
Zip	:	73505-9521
Country	:	US
Telephone Number	:	580-536-9100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIMOTHY F WRIGHT
Credential	:	M.D.
Telephone Number	:	580-536-9100

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	08/22/2020

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