Doctor Name: | MR. JEFFREY J WRIGHT |
NPI Number: | 1235209321 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 363 |
Business Practice Address: | 4914 Elk River Rd Ste A Elkview, WV - 250719278 |
Business Phone Number: | 3049657051 |
Business Fax Number: | 3049655074 |
Mailing Address: | 4914 Elk River Rd Ste A, ELKVIEW |
State: | WV |
Postal Code: | 250719278 |
Phone Number: | 3049657051 |
Fax Number: | 3049655074 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |