MEDICARE: ADAM G. 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
1	363A00000X	Physician Assistant	6128829-1206	UT
2	363A00000X	Physician Assistant	PA-1940	ID

General Provider Information

NPI Number	:	1740536374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM G. WRIGHT PA-C

Provider Business Mailing Address
First Line	:	5444 S GREEN ST STE 400
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-5632
Country	:	US
Telephone Number	:	801-442-4538
Fax Number	:

Provider Business Practice Location Address
First Line	:	5373 S GREEN STREET
Second Line	:	SUITE 400 (VALLEY CENTER TOWER)
City	:	MURRAY
State	:	UT
Zip	:	84123
Country	:	US
Telephone Number	:	801-442-4538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2012
Last Update Date	:	04/02/2026

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