Healthcare Provider Details

I. General information

NPI: 1457375958
Provider Name (Legal Business Name): GAIL WRIGHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 03/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 WELCH RD PACKARD CHILDREN'S HEALTH AT STANFORD
PALO ALTO CA
94304-1601
US

IV. Provider business mailing address

725 WELCH RD PACKARD CHILDREN'S HEALTH AT STANFORD
PALO ALTO CA
94304-1601
US

V. Phone/Fax

Practice location:
  • Phone: 650-736-8716
  • Fax:
Mailing address:
  • Phone: 650-723-7913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberC51662
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberC51662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: