Provider Demographics
NPI:1124001433
Name:WRIGHT, TONY M (MD)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8333 N DAVIS HWY
Mailing Address - Street 2:MEDICAL CENTER CLINIC ANESTHESIA
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6050
Mailing Address - Country:US
Mailing Address - Phone:850-474-8319
Mailing Address - Fax:850-969-2958
Practice Address - Street 1:8333 N DAVIS HWY
Practice Address - Street 2:WEST FLORIDA MEDICAL CENTER CLINIC PA
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6050
Practice Address - Country:US
Practice Address - Phone:850-474-8319
Practice Address - Fax:850-969-2958
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2017-10-19
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Provider Licenses
StateLicense IDTaxonomies
NC9401364207L00000X
FLME0078615207L00000X
AL23516207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G34654Medicare UPIN