Individual
DR. ANDY J. WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 837-4000
(417) 875-4710
Mailing address
2828 N NATIONAL AVE, SPRINGFIELD, MO 65803-4306
(417) 837-4000
(417) 875-4710
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R2D85
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073675948
—
MO
05
—
201857752
—
MO
01
—
P00419088
RR MEDICARE
MO
Enumeration date
12/15/2006
Last updated
06/17/2011
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