Doctor Name: | DR. GARY WRIGHT |
NPI Number: | 1841212750 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME73329 |
Business Practice Address: | 30 Del Prado Blvd N Suite 100 Cape Coral, FL - 339092705 |
Business Phone Number: | 2398965566 |
Business Fax Number: | 2398290099 |
Mailing Address: | 30 Del Prado Blvd N, Suite 100 CAPE CORAL |
State: | FL |
Postal Code: | 339092705 |
Phone Number: | 2398290099 |
Fax Number: | 2396739694 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 09/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME73329 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |