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Individual

DR. AMANDA WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
7003 CHAD COLLEY BLVD, BARLING, AR 72923-3000
(479) 431-3500
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005622A
IN
207Q00000X
Family Medicine Physician
E-10571
AR
390200000X
Student in an Organized Health Care Education/Training Program
125053539
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942404884
IL
Enumeration date
06/13/2007
Last updated
06/15/2022
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