Organization
GARY L WRIGHT MD INC
Active
Organization
GARY L WRIGHT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LAMON WRIGHT MD (CEO)
(209) 532-3821
Entity
Organization
Contact information
Practice address
664 PAULINE CT, G, SONORA, CA 95370-5210
(209) 532-3821
(209) 532-0164
Mailing address
664 PAULINE CT # G, SONORA, CA 95370-5210
(209) 532-3821
(209) 532-0164
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G39395
CA
207NS0135X
Procedural Dermatology Physician
G39395
CA
2086X0206X
Surgical Oncology Physician
G39395
CA
Other
Enumeration date
07/02/2008
Last updated
08/12/2014
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