Provider Demographics
NPI:1952653289
Name:WRIGHT, CHRISTOPHER PAUL (MS, PA-C)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PAUL
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MS, PA-C
Other - Prefix:
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Mailing Address - Street 1:6200 CHARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1157
Mailing Address - Country:US
Mailing Address - Phone:303-929-7191
Mailing Address - Fax:
Practice Address - Street 1:6500 W 29TH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-8386
Practice Address - Country:US
Practice Address - Phone:970-330-5555
Practice Address - Fax:970-584-1055
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO0003512363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant