Individual
DR. KEITH A WRIGLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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