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DR. ROBERT LOREN BRIDGES M.D.

Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1366501876

Individual Registrant:
DR. ROBERT LOREN BRIDGES M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1751 E. GARDNER WAY SUITE B WASILLA, AK 99654 US
Tel: 907-357-1220  Fax: 907-357-1222

Contact information for business:
P.O. BOX 751  GIRDWOOD, AK 99587 US
Tel: 907-382-0952  Fax: 866-305-3886

Registration Information:
NPI: 1366501876
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2085R0202XAllopathic & Osteopathic Physicians
Radiology
Diagnostic Radiology
AK4098
N2085N0904XAllopathic & Osteopathic Physicians
Radiology
AK4098

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MDG1552AK05
STATE OF AK MEDICAL LICEN4098AK01
MDG155AK05
MDG1551AK05
BLUE CROSS BLUE SHIELDN2018AK01
MD5606AK05
MDG1553AK05




HEALTH CARE JOBS AK - Page 1



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