Individual
DR. BRANDON WESLEY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 THOMPSON PKWY, JOHNSTOWN, CO 80534-6426
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50743
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023502
KAISER COMMERCIAL NUMBER
CO
05
—
63154561
—
CO
Enumeration date
04/21/2010
Last updated
06/18/2021
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