Provider Demographics
NPI:1306462775
Name:WRIGHT, ANDREW BENNETT (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:BENNETT
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1600 N MORLEY ST
Mailing Address - Street 2:
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-3666
Mailing Address - Country:US
Mailing Address - Phone:660-372-9595
Mailing Address - Fax:660-372-9596
Practice Address - Street 1:1600 N MORLEY ST
Practice Address - Street 2:
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-3666
Practice Address - Country:US
Practice Address - Phone:660-372-9595
Practice Address - Fax:660-372-9596
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2024-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2020017748207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine