MEDICARE: DR. ANNETTE WRIGHT-SMITH D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	7371	AZ

General Provider Information

NPI Number	:	1184653685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE WRIGHT-SMITH D.C.

Provider Business Mailing Address
First Line	:	P.O. BOX 386
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340-0386
Country	:	US
Telephone Number	:	623-936-9353
Fax Number	:	623-936-9354

Provider Business Practice Location Address
First Line	:	10320 W. MCDOWELL RD
Second Line	:	SUITE E-5013
City	:	AVONDALE
State	:	AZ
Zip	:	85392-4863
Country	:	US
Telephone Number	:	623-936-9353
Fax Number	:	623-936-9354

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	03/08/2010

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