Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 16593 | CA |
NPI | 1194837880 |
---|---|
Provider Name | Dr. Greg Webster Wright |
First Address | San Diego, CA 92121-2926 |
Second Address | San Diego, CA 92121-2926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |