MEDICARE: DOUGLAS D WRIGHT PA

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1750575544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS D WRIGHT PA

Provider Business Mailing Address
First Line	:	215 DON KNOTTS BLVD
Second Line	:	SUITE 130
City	:	MORGANTOWN
State	:	WV
Zip	:	26501-6734
Country	:	US
Telephone Number	:	304-291-3627
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 DON KNOTTS BLVD
Second Line	:	SUITE 130
City	:	MORGANTOWN
State	:	WV
Zip	:	26501-6734
Country	:	US
Telephone Number	:	304-291-3627
Fax Number	:

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

Provider Enumeration Date	:	09/05/2007
Last Update Date	:	07/23/2013

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Directions to “ DOUGLAS D WRIGHT PA” Practice Location

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