Provider Demographics
NPI:1720310105
Name:DAVID CRAIG WRIGHT, M.D.,INC.
Entity Type:Organization
Organization Name:DAVID CRAIG WRIGHT, M.D.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-236-8883
Mailing Address - Street 1:510 LIGHTHOUSE AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-2756
Mailing Address - Country:US
Mailing Address - Phone:831-717-4444
Mailing Address - Fax:831-717-4446
Practice Address - Street 1:510 LIGHTHOUSE AVE STE 6
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950
Practice Address - Country:US
Practice Address - Phone:831-717-4444
Practice Address - Fax:831-717-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG88577261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center