Individual
JASON T WRIGHT
Active
Individual
JASON T WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41692
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118985900
—
WY
05
—
770009011A
—
GA
05
—
97683230
—
CO
05
—
MD524CO
—
AK
01
—
WR667778
ANTHEM BCBS
CO
Enumeration date
11/22/2005
Last updated
06/12/2013
Update your record
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