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Individual

MR. JASON EDWARD WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
677 N WILMOT ROAD, TUCSON, AZ 85711-2701
(520) 795-2889
(520) 795-6321
Mailing address
677 N WILMOT ROAD, TUCSON, AZ 85711-2701
(520) 795-2889
(520) 795-6321

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
42128
AZ
2085N0904X
Nuclear Radiology Physician
42128
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
42128
AZ
2085U0001X
Diagnostic Ultrasound Physician
42128
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005472
GROUP AHCCCS ID
AZ
01
1841261989
GROUP NPI
AZ
01
488010
PHYSICIAN AHCCCS ID
AZ
01
CS7943
GROUP MEDICARE RAILROAD ID & PTAN
AZ
01
Z175992
PHYSICIANS MEDICARE PTAN
AZ
01
ZWCBBM
GROUP MEDICARE ID
AZ
Enumeration date
07/10/2007
Last updated
06/30/2015
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