Basic Information
| Provider Information | |||||||||
| NPI: | 1659698280 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WRIGHT | ||||||||
| FirstName: | MORIAH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6029 WALNUT GROVE RD MEDICAL PLAZA #3, SUITE 404 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 38120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017261056 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9850 NICHOLAS ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681142186 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4023431122 | ||||||||
| FaxNumber: | 4023431177 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2010 | ||||||||
| LastUpdateDate: | 09/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208600000X | 29230 | NE | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.