Individual
MR. MICHAEL TATE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1339 S FEDERAL BLVD, DENVER, CO 80219-4235
(303) 602-0000
Mailing address
1339 S FEDERAL BLVD, DENVER, CO 80219-4235
(303) 602-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
62934
CO
208000000X
Pediatrics Physician
N4211
TX
208M00000X
Hospitalist Physician
N4211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531248
ANTHEM
IN
05
—
200869020
—
IN
01
—
9701093
AETNA
IN
Enumeration date
08/29/2007
Last updated
10/13/2022
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