Provider Demographics
NPI:1801963947
Name:WRIGHT, GRIGGSBY H IV (MD)
Entity type:Individual
Prefix:DR
First Name:GRIGGSBY
Middle Name:H
Last Name:WRIGHT
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7115 N DIVISION ST
Mailing Address - Street 2:B-173
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7115 N DIVISION ST
Practice Address - Street 2:B-173
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-6507
Practice Address - Country:US
Practice Address - Phone:000-000-0001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2015-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL29501207L00000X
MIL1154431207L00000X
WAMD60050882207L00000X, 208D00000X, 202C00000X, 209800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No209800000XAllopathic & Osteopathic PhysiciansLegal Medicine