Provider Demographics
NPI:1174995104
Name:WRIGHT SURGICAL ARTS LLC
Entity type:Organization
Organization Name:WRIGHT SURGICAL ARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:D
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:509-792-1404
Mailing Address - Street 1:303 BRADLEY BLVD
Mailing Address - Street 2:STE 206
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4497
Mailing Address - Country:US
Mailing Address - Phone:509-943-8842
Mailing Address - Fax:509-943-8851
Practice Address - Street 1:5908 BEDFORD ST STE C
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-6605
Practice Address - Country:US
Practice Address - Phone:509-792-1404
Practice Address - Fax:509-792-1405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60504027261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT8806175-1204OtherUT LICENSE
WAOP60504027OtherWA LICENSE