Individual
DR. ETHAN JOSEPH WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2943 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-6535
(870) 424-4900
Mailing address
PO BOX 444, MOUNTAIN HOME, AR 72654-0444
(870) 701-5119
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E5537
AR
207W00000X
Ophthalmology Physician
T2008-002
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168500001
—
AR
Enumeration date
01/15/2008
Last updated
08/19/2021
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