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NPI Code Detail

MEDICARE: ALEXANDER WRIGHT PA-C

MEDICARE: ALEXANDER WRIGHT PA-C
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
1363AM0700XMedical Physician Assistant2308AZ
2363AS0400XSurgical Physician Assistant2308AZ
3363A00000XPhysician Assistant2308AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336164656
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER WRIGHT PA-C
Provider Business Mailing Address
First Line : PO BOX 80217
Second Line :
City : PHOENIX
State : AZ
Zip : 85060-0217
Country : US
Telephone Number : 602-648-5444
Fax Number :
Provider Business Practice Location Address
First Line : 1675 E MELROSE ST UNIT 101
Second Line :
City : GILBERT
State : AZ
Zip : 85297-1001
Country : US
Telephone Number : 480-964-2908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 12/19/2022

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Directions to “ ALEXANDER WRIGHT PA-C” Practice Location

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