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Individual

MR. GARY L WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3331 E BASELINE RD, GILBERT, AZ 85234-2633
(480) 545-1100
(480) 545-7181
Mailing address
PO BOX 7060, CHANDLER, AZ 85246-7060
(480) 444-2017
(480) 545-7181

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1638
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
318148001
AZ
Enumeration date
05/17/2006
Last updated
11/15/2017
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