| Organization Name: | WRIGHT SURGICAL ASSISTANT |
| NPI Number: | 1972996668 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN ROGER WRIGHT (CERTIFIED SURGICAL ASSISTANT) |
| Mailing Address: | 4100 Peridot Dr Va Beach |
| State: | VA US |
| Postal Code: | 234565804 |
| Phone Number: | 7574128017 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2015 |
| NPI Last Update Date: | 03/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 1212 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |