Healthcare Provider Details

I. General information

NPI: 1598759102
Provider Name (Legal Business Name): RICHARD GORDON WRIGHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 DUTCH HOLLOW TRL
RENO NV
89523-9706
US

IV. Provider business mailing address

1116 DUTCH HOLLOW TRL
RENO NV
89523-9706
US

V. Phone/Fax

Practice location:
  • Phone: 916-204-2114
  • Fax:
Mailing address:
  • Phone: 916-204-2114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA32699
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: