Individual
DR. BRENT DOUGLAS WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 SOUTH ST, FORT BRAGG, CA 95437-5540
(707) 964-1251
(707) 961-2722
Mailing address
205 SOUTH ST, FORT BRAGG, CA 95437-5540
(707) 964-1251
(707) 961-2722
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A67482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EH816A
PTAN
CA
05
—
FHC03967F
—
CA
Enumeration date
03/16/2007
Last updated
08/29/2012
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