Provider Demographics
NPI:1750575544
Name:WRIGHT, DOUGLAS D (PA)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:D
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:215 DON KNOTTS BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-6734
Mailing Address - Country:US
Mailing Address - Phone:304-291-3627
Mailing Address - Fax:
Practice Address - Street 1:215 DON KNOTTS BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-6734
Practice Address - Country:US
Practice Address - Phone:304-291-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2013-07-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant