Individual
MARK TODD WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MN, CRNA
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(512) 925-7978
Mailing address
4988 ROBINHOOD LN, LAKESIDE, AZ 85929-5119
(512) 925-7978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP125093
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1500
AZ
Other
Enumeration date
01/13/2012
Last updated
10/02/2019
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