Individual
DIANA L WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
456 KOKOPELLI BLVD, SUITE B, FRUITA, CO 81521
(970) 639-9505
(970) 639-2993
Mailing address
300 S NEVADA AVENUE, MONTROSE, CO 81401
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002968
CO
363A00000X
Physician Assistant
PA60371999
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
542099YYS0
MEDICARE FOR CEDAR POINT HEALTH
CO
05
—
78357250
—
CO
Enumeration date
02/23/2010
Last updated
08/16/2017
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