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Individual

DR. KEITH A WRIGLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31161
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100017202
RAILROAD MEDICARE
AZ
05
754772
AZ
01
86080015085259A855
TRIWEST
AZ
Enumeration date
01/20/2006
Last updated
04/08/2010
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