Individual
SHANE RUSSELL WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2373 G RD STE 100, GRAND JUNCTION, CO 81505-1003
(970) 245-0484
(970) 241-1681
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 245-0484
(970) 241-1681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/10/2022
Last updated
08/31/2022
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