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Individual
DAVID BRIDGES
Active
Individual
DAVID BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17778
TN
207P00000X
Emergency Medicine Physician
Primary
43525
KY
207R00000X
Internal Medicine Physician
43525
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43525
KY STATE MEDICAL LICENSE
KY
05
—
64915002
—
KY
Enumeration date
07/13/2006
Last updated
10/01/2015
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