Provider Demographics
NPI:1043252984
Name:WRIGHT, ALICE P (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:P
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7851 S ELATI ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8080
Mailing Address - Country:US
Mailing Address - Phone:303-759-0854
Mailing Address - Fax:303-759-0864
Practice Address - Street 1:350 W THOMAS RD
Practice Address - Street 2:ST. JOSEPH'S HOSPITAL & MEDICAL CENTER, EMERGENCY DEPT.
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4409
Practice Address - Country:US
Practice Address - Phone:602-406-3361
Practice Address - Fax:602-406-7165
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ35208207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0920930OtherBCBS AZ PROVIDER ID
AZ153010Medicaid
AZ7289892OtherAETNA PROVIDER ID
AZ7289892OtherAETNA PROVIDER ID
AZAZ0920930OtherBCBS AZ PROVIDER ID