Provider Demographics
NPI:1467773614
Name:WRIGHT, STEPHEN ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ANDREW
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1022 1ST ST N
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8706
Mailing Address - Country:US
Mailing Address - Phone:205-663-9550
Mailing Address - Fax:205-620-0864
Practice Address - Street 1:1022 1ST ST N
Practice Address - Street 2:SUITE 102
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8706
Practice Address - Country:US
Practice Address - Phone:205-663-9550
Practice Address - Fax:205-620-0864
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL32344208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-36263OtherBLUE CROSS BLUE SHIELD OF ALABAMA