Provider Demographics
NPI:1154550168
Name:WRIGHT, ANDREW J (MD)
Entity type:Individual
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First Name:ANDREW
Middle Name:J
Last Name:WRIGHT
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Gender:
Credentials:MD
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Mailing Address - Street 1:10200 GRAND CENTRAL AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4366
Mailing Address - Country:US
Mailing Address - Phone:520-795-5830
Mailing Address - Fax:520-885-4469
Practice Address - Street 1:6325 E TANQUE VERDE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3808
Practice Address - Country:US
Practice Address - Phone:520-795-5830
Practice Address - Fax:520-885-4469
Is Sole Proprietor?:No
Enumeration Date:2009-07-11
Last Update Date:2025-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ49287208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ953987Medicaid