Organization
WRIGHT FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J WRIGHT MD (M.D.)
(765) 534-3636
Entity
Organization
Contact information
Practice address
299 E PENDLETON AVE, LAPEL, IN 46051-5546
(765) 534-3636
(765) 534-3638
Mailing address
299 E PENDLETON AVE, BX 547, LAPEL, IN 46051-5546
(765) 534-3636
(765) 534-3638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028188B
IN
207Q00000X
Family Medicine Physician
71002634A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D2075563
CLIA
IN
05
—
201248190
—
IN
Enumeration date
02/07/2014
Last updated
03/07/2024
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