Healthcare Provider Details

I. General information

NPI: 1275544421
Provider Name (Legal Business Name): ROBERT CHASE WRIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 MILKY WAY
DENVER CO
80260-4713
US

IV. Provider business mailing address

1551 MILKY WAY
DENVER CO
80260-4713
US

V. Phone/Fax

Practice location:
  • Phone: 303-426-4525
  • Fax: 303-428-6381
Mailing address:
  • Phone: 303-426-4525
  • Fax: 303-428-6381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number21121
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number21121
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: