Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1295977254 |
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| LBN Legal business name | WRIGHT STATE PHYSICIANS INC | ||||||||
| Authorized official | MARGARET DUNN - (CEO/PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 04/06/2009 | ||||||||
| Last updated | 01/02/2014 - About 12 years ago | ||||||||
| Identifiers |
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WRIGHT STATE PHYSICIANS INC
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