Healthcare Provider Details

I. General information

NPI: 1417011065
Provider Name (Legal Business Name): CLINTON WRIGHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 04/05/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 OLD GEORGETOWN RD
BETHESDA MD
20814-1422
US

IV. Provider business mailing address

6859 TULIP HILL TER
BETHESDA MD
20816-1047
US

V. Phone/Fax

Practice location:
  • Phone: 240-274-2012
  • Fax:
Mailing address:
  • Phone: 240-274-2012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberD0084184
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: