Individual
DANIEL R WRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-1000
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003791A
IN
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300069162
—
IN
Enumeration date
09/06/2022
Last updated
06/18/2024
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