Individual
MR. ROGER LEWIS WRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6904 E 143RD ST, GRANDVIEW, MO 64030-4126
(816) 695-0986
Mailing address
6904 E 143RD ST, GRANDVIEW, MO 64030-4126
(816) 695-0986
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
T125048001
MO
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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