Individual
KEITH WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 10TH ST SE, CEDAR RAPIDS, IA 52403-1206
(319) 363-8303
(319) 364-4659
Mailing address
525 10TH ST SE, CEDAR RAPIDS, IA 52403-1206
(319) 363-8303
(319) 364-4659
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
24761
IA
207RX0202X
Medical Oncology Physician
24761
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031005
—
IA
01
—
22722
WELLMARK BC/BS
IA
Enumeration date
12/14/2005
Last updated
10/18/2007
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