Individual
ALEXANDER WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1675 E MELROSE ST UNIT 101, GILBERT, AZ 85297-1001
(480) 964-2908
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 648-5444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2308
AZ
363AM0700X
Medical Physician Assistant
2308
AZ
363AS0400X
Surgical Physician Assistant
2308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
446406
—
AZ
Enumeration date
07/13/2006
Last updated
12/19/2022
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