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NPI Code Detail

MEDICARE: EDWARD DAVID WRIGHT MD

MEDICARE: EDWARD DAVID WRIGHT MD
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
1207ND0900XDermatopathology PhysicianDR.0039755CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2376209YMJ3OTHERCOPTAN
3376209KZDHOTHERCOPTAN

General Provider Information

NPI Number : 1235120080
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD DAVID WRIGHT MD
Provider Business Mailing Address
First Line : 501 AIRPORT RD
Second Line :
City : RIFLE
State : CO
Zip : 81650-8510
Country : US
Telephone Number : 970-625-1100
Fax Number :
Provider Business Practice Location Address
First Line : 501 AIRPORT RD
Second Line :
City : RIFLE
State : CO
Zip : 81650-8510
Country : US
Telephone Number : 970-625-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2005
Last Update Date : 02/14/2020

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