MEDICARE: DR. DAVID C WRIGLEY 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	208600000X	Surgery Physician	AK4130	AK

Other Identifiers

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

General Provider Information

NPI Number	:	1891797437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID C WRIGLEY MD

Provider Business Mailing Address
First Line	:	PO BOX 241889
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99524-1889
Country	:	US
Telephone Number	:	907-563-1777
Fax Number	:	907-561-7464

Provider Business Practice Location Address
First Line	:	3300 PROVIDENCE DR
Second Line	:	SUITE 213
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4616
Country	:	US
Telephone Number	:	907-743-0740
Fax Number	:	907-743-0741

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/09/2007

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Directions to “ DR. DAVID C WRIGLEY MD” Practice Location

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