Organization
JOE A WRIGHT MONTICELLO ANESTHESIA SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE WRIGHT CRNA (OWNER)
(870) 460-3552
Entity
Organization
Contact information
Practice address
778 SCOGIN DRIVE, MONTICELLO, AR 71655-5729
(870) 367-2411
Mailing address
400 EAST 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R32806
AZ
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115534701
—
AR
05
—
129353702
—
AR
01
—
59537
BLUE CROSS-AR
—
01
—
5B818
BLUE ADVANTAGE OF AR
AR
01
—
770221502
EDS BREASTCARE PROGRAM
AR
Enumeration date
02/13/2006
Last updated
07/31/2008
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