Individual
DR. TIMOTHY ROBERT WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308
(623) 561-7222
Mailing address
PO BOX 10002, GLENDALE, AZ 85318-0002
(623) 561-7222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17772
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097990
—
AZ
01
—
3981220
EVERCARE GRP
AZ
01
—
AW1436
HEALTHNET GRP
AZ
01
—
AZ0728670
BLUE CROSS BLUE SHIELD GR
AZ
Enumeration date
04/25/2006
Last updated
12/13/2007
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