Healthcare Provider Details

I. General information

NPI: 1831414630
Provider Name (Legal Business Name): G. STEVEN WRIGHT JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 03/12/2020
Certification Date: 03/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 STOCKYARD RD BLDG 1-200
MISSOULA MT
59808-1503
US

IV. Provider business mailing address

PO BOX 17527
MISSOULA MT
59808-7527
US

V. Phone/Fax

Practice location:
  • Phone: 406-728-8420
  • Fax: 406-541-8430
Mailing address:
  • Phone: 406-728-8420
  • Fax: 406-541-8430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD2014-0168
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMED-PHYS-LIC-35961
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: