Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME116465 | FL |
N | 207P00000X | Emergency Physician | N6108 | TX |
NPI | 1013075977 |
---|---|
Provider Name | Gary D Wright |
First Address | Pensacola, FL 32513-2699 |
Second Address | Pensacola, FL 32504-8721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 26/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E67221 | (02) |