Wright, Russell W
Wright, Russell W is an sole proprietor health care provider with primary practice located at 190 E Bannock St C/O Boise Radiology Group, Boise ID 83712-6241. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wright, Russell W can be contacted via phone (208) 381-2094.Contact Information
Primary practice address
190 E Bannock St C/O Boise Radiology Group
Boise ID 83712-6241
Phone: (208) 381-2094
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | N1961 | Texas |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M-11892 | Idaho |
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 250292 | Massachusetts |
Profile Details
NPI number | 1679710123 |
---|---|
LBN Legal business name | Wright, Russell W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 20th, 2009 |
Last updated | Oct 22nd, 2019 - about 5 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.
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