Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 2011012586 | MO |
Y | 207U00000X | Nuclear Medicine Specialist | 35097898 | OH |
NPI | 1558565523 |
---|---|
Provider Name | Dr. Chadwick Lewis Wright |
First Address | Columbus, OH 43210-1267 |
Second Address | Columbus, OH 43210-1267 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 14/02/2017 |