Wright, Justin David

Wright, Justin David is an individual health care provider with primary practice located at 208 W Casablanca Ave , Cannon Afb NM 88103-5009. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wright, Justin David can be contacted via phone (575) 784-1103.

Contact Information

Primary practice address
208 W Casablanca Ave Cannon Afb NM 88103-5009
Fax:
Website:

Profile Details

NPI number 1740426923
LBN Legal business name Wright, Justin David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2008
Last updated Jan 14th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers