Individual
DR. MICAH RAY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2740 E 13TH ST, TULSA, OK 74104-4324
(405) 694-9311
Mailing address
2740 E 13TH ST, TULSA, OK 74104-4324
(405) 694-9311
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6281
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200716770A
—
OK
01
—
2G4732
MEDICARE
OK
Enumeration date
02/24/2016
Last updated
02/08/2023
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