Individual
MITRA H BRIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R, MR
Contact information
Practice address
1201 13TH AVE SE, DECATUR, AL 35601-4300
(256) 350-7779
(256) 350-2272
Mailing address
107 MARYSA DR, HUNTSVILLE, AL 35811-8770
(256) 683-2171
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
290989
AL
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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