UPI (Provider ID): 2573
Change Report (if Any):

Short Name: WRIGHT STATE

Long Name 1: WRIGHT STATE UNIVERSITY
Long Name 2: CENTER ON DRUGS AND DISABILITY

Address 1: SCHOOL OF MEDICINE
Address 2: PO BOX 927

City: DAYTON
Zip Code: 45401
County: MONT

Contact: HARVEY SIEGEL
Title: EXDR
Phone: 9377751384
FAX: 9372591395

Vendor: 2573

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016