Individual
MELISSA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1375 NETTLETON AVE, THAYER, MO 65791
(417) 264-7136
(417) 264-7122
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(174) 256-9111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2019043498
MO
207Q00000X
Family Medicine Physician
Primary
E-4350
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157523001
—
AR
01
—
2019043498
MO STATE LICENSE
MO
Enumeration date
04/27/2006
Last updated
09/26/2024
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