Individual
DR. JUDITH A WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-6821
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01061029A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01061029A
IN LICENSE
IN
01
—
01061029B
CSR
IN
05
—
200525720
—
IN
01
—
M400061676
MEDICARE PTAN
IN
Enumeration date
08/31/2006
Last updated
09/09/2023
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