Organization
B. CODY WRIGHT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
B. CODY WRIGHT MD (PRESIDENT)
(928) 213-5600
Entity
Organization
Contact information
Practice address
121 E BIRCH AVE STE 503, FLAGSTAFF, AZ 86001-4621
(928) 213-5600
(928) 213-5999
Mailing address
121 E BIRCH AVE STE 503, FLAGSTAFF, AZ 86001-4621
(928) 213-5600
(928) 213-5999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33927
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
932435
—
AZ
Enumeration date
11/19/2007
Last updated
12/12/2007
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