Individual
DR. MARK PHILLIP WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 E JOHNSON AVE, JONESBORO, AR 72405-8413
(870) 936-8000
(870) 934-3628
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-6234
AR
2086S0129X
Vascular Surgery Physician
2017033725
MO
2086S0129X
Vascular Surgery Physician
Primary
E-6234
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194914001
—
AR
01
—
5I144
BCBS
AR
Enumeration date
05/10/2007
Last updated
12/27/2021
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