Individual
DR. ELLIE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN
Contact information
Practice address
17505 N 79TH AVE STE 111D, GLENDALE, AZ 85308-8724
(623) 687-7556
Mailing address
PO BOX 7396, SURPRISE, AZ 85374-0106
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
17-1678
AZ
Other
Enumeration date
02/05/2018
Last updated
03/22/2018
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