Individual
DR. NEIL D WAINWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 MONTEBELLO RD, PUEBLO, CO 81001-1236
(719) 545-1530
(719) 545-2899
Mailing address
27 MONTEBELLO RD, PUEBLO, CO 81001-1236
(719) 545-1530
(719) 545-2899
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16094
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01160944
—
CO
01
—
0452890001
MEDICARE DMERC
CO
01
—
180014900
RAILROAD MEDICARE
CO
01
—
608439600
US DEPT LABOR WORK COMP
CO
01
—
CO6094
EYEMED EYECARE
CO
01
—
K2088
ANTHEM
CO
Enumeration date
05/10/2006
Last updated
02/21/2017
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