Wright, Mark Phillip
Wright, Mark Phillip is an individual health care provider with primary practice located at 4802 E Johnson Ave , Jonesboro AR 72405-8413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Wright, Mark Phillip can be contacted via phone (870) 936-8000.Contact Information
Primary practice address
4802 E Johnson Ave
Jonesboro AR 72405-8413
Phone: (870) 936-8000
Fax: (870) 934-3628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | E-6234 | Arkansas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2017033725 | Missouri |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | E-6234 | Arkansas |
Profile Details
| NPI number | 1558576041 |
|---|---|
| LBN Legal business name | Wright, Mark Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Dec 27th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558576041 | NPPES |
| Arkansas | Other | 5I144 | BCBS |
| Arkansas | MEDICAID | 194914001 | BCBS |
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