Individual
JOE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653-6136
(870) 265-5351
(870) 265-9306
Mailing address
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653-6136
(870) 265-5351
(870) 265-9306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R32806
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115534701
—
AR
01
—
59537
BLUE CROSS OF AR
AR
Enumeration date
02/14/2006
Last updated
03/18/2011
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