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Individual

DR. PHILLIP G. WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
200 TOLLGATE ROAD, SUITE 202, WARWICK, RI 02886-0444
(401) 738-5500
(401) 738-5505
Mailing address
200 TOLLGATE ROAD, SUITE 202, WARWICK, RI 02886-0444
(401) 738-5500
(401) 738-5505

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODT00349
RI
152W00000X
Optometrist
Primary
ODTA00349
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PW04786
RI
Enumeration date
10/06/2006
Last updated
05/26/2010
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