SHANE RUSSELL WRIGHT

GRAND JUNCTION, CO
NPI1760110415
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2022-08-10
Last Update Date2022-08-31
Business Address
SHANE RUSSELL WRIGHT PA
2373 G RD STE 100
GRAND JUNCTION, CO 81505-1003
Phone number: 970-245-0484
Mailing Address
SHANE RUSSELL WRIGHT PA
PO BOX 1727
GRAND JUNCTION, CO 81502-1727
Phone number: 970-245-0484
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