Provider Demographics
NPI:1619945938
Name:WRIGHT, DARIN L (MD)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:L
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-2135 FORT WEAVER RD FL 3
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-1940
Mailing Address - Country:US
Mailing Address - Phone:808-691-3352
Mailing Address - Fax:808-691-3355
Practice Address - Street 1:91-2135 FORT WEAVER RD FL 3
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-1940
Practice Address - Country:US
Practice Address - Phone:808-691-3352
Practice Address - Fax:808-691-3355
Is Sole Proprietor?:No
Enumeration Date:2006-03-11
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5996207Y00000X
WI52515207Y00000X
HIMD-19699207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS102932Medicare PIN
G02777Medicare UPIN
WI453000607Medicare PIN