Provider Demographics
NPI:1083016455
Name:WRIGHT, MICHAEL D (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11616
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85318-1616
Mailing Address - Country:US
Mailing Address - Phone:480-562-6600
Mailing Address - Fax:480-562-6606
Practice Address - Street 1:8585 E HARTFORD DR STE 103
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5472
Practice Address - Country:US
Practice Address - Phone:480-562-6600
Practice Address - Fax:480-562-6606
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2021-04-21
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical