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NPI Code Detail

MEDICARE: DR. MICHAEL THOMAS WRIGHT MD

MEDICARE:  DR. MICHAEL THOMAS 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician287019-1205UT

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 : 1376502666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL THOMAS WRIGHT MD
Provider Business Mailing Address
First Line : PO BOX 30309
Second Line :
City : CHARLESTON
State : SC
Zip : 29417-0309
Country : US
Telephone Number : 843-554-9300
Fax Number : 843-566-8780
Provider Business Practice Location Address
First Line : 5770 S 300 E
Second Line :
City : MURRAY
State : UT
Zip : 84107-6548
Country : US
Telephone Number : 801-314-2730
Fax Number : 801-314-2029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 03/03/2008

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Directions to “ DR. MICHAEL THOMAS WRIGHT MD” Practice Location

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