Healthcare Provider Details

I. General information

NPI: 1619945938
Provider Name (Legal Business Name): DARIN L WRIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2006
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 9TH ST STE 10
RUPERT ID
83350-2207
US

IV. Provider business mailing address

91-2135 FORT WEAVER RD FL 3
EWA BEACH HI
96706-1940
US

V. Phone/Fax

Practice location:
  • Phone: 208-434-8420
  • Fax: 208-436-1665
Mailing address:
  • Phone: 808-691-3352
  • Fax: 808-691-3355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number52515
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD-19699
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberM-17829
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number5996
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: