Individual
JEFFREY MICHAEL WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-6610
Mailing address
204 N 4TH AVE E, NEWTON, IA 50208-3135
(641) 792-1273
(641) 791-4852
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03055
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146373
—
IA
01
—
57938
BCBS PROVIDER #
IA
Enumeration date
05/27/2005
Last updated
05/06/2021
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