Healthcare Provider Details

I. General information

NPI: 1033597737
Provider Name (Legal Business Name): WRIGHT SURGICAL ARTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2015
Last Update Date: 03/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5908 BEDFORD ST STE C
PASCO WA
99301-6605
US

IV. Provider business mailing address

303 BRADLEY BLVD STE 206
RICHLAND WA
99352-4497
US

V. Phone/Fax

Practice location:
  • Phone: 509-792-1404
  • Fax: 509-792-1405
Mailing address:
  • Phone: 509-943-8842
  • Fax: 509-943-8851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON DAVID WRIGHT
Title or Position: MEDICAL DIRECTOR
Credential: D,O,
Phone: 509-792-1404