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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558576041 NPPES
Arkansas Other 5I144 BCBS
Arkansas MEDICAID 194914001 BCBS

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