Individual
ROBERT JEFFREY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 W BOISE CIR STE 160, BROKEN ARROW, OK 74012-4932
(918) 994-9160
(918) 403-6306
Mailing address
800 W BOISE CIR STE 160, BROKEN ARROW, OK 74012-4932
(189) 949-1609
(918) 403-6306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OK1989
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089290A
—
OK
Enumeration date
07/07/2006
Last updated
06/30/2022
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