Individual
DAVID L WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
612 ROXBURY ROAD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301
Mailing address
612 ROXBURY ROAD, ROCKFORD, IL 61107-5089
(815) 227-8300
(815) 227-8301
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036056932
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056932
—
IL
05
—
30294900
—
WI
01
—
P00837771
RAILROAD MEDICARE
WI
Enumeration date
07/24/2006
Last updated
04/22/2011
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