Otis D Wright NP

NPI 1104909688 - Nurse Practitioner - 363LG0600X

NPI Details
NPI 1104909688
Gender Male
Enumeration Date 10/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
121 S GLENOAKS BLVD
# 3
BURBANK CA, 91502-1315, US
Phone (818) 843-5225
Fax (818) 843-5224
Business Location
121 S GLENOAKS BLVD
# 3
BURBANK CA, 91502-1315, US
Phone (818) 843-5225
Fax (818) 843-5224
Toxanomy
Taxonomy Code 363LG0600X
License State California
License Number NP 16852
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According to our database, Otis D Wright NP NPI is 1104909688, taxonomy code is 363LG0600X and license number is NP 16852, license state is located at California. Otis D Wright NP physically located at 121 S Glenoaks Blvd, Burbank CA, 91502-1315. NPI Number Otis D Wright NP has the Individual type.

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1104909688 NPI number is provided on an as is basis without warranty of any kind. 1104909688 is maintained by the National Plan & Provider Enumeration System. The contents of Otis D Wright NP are for informational purposes only.