Doctor Name: | DR. RUSSELL W WRIGHT |
NPI Number: | 1679710123 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 250292 |
Business Practice Address: | 190 E Bannock St C/o Boise Radiology Group Boise, ID - 837126241 |
Business Phone Number: | 2083812094 |
Business Fax Number: | |
Mailing Address: | 900 Washington St, C/o Ma Hort Society WELLESLEY |
State: | MA |
Postal Code: | 024825725 |
Phone Number: | 8327259363 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2009 |
NPI Last Update Date: | 02/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 250292 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |