Organization
BRIDGEWELL MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN SCHOTT (PRESIDENT)
(208) 505-1179
Entity
Organization
Contact information
Practice address
800 W MAIN ST SUITE 1460, BOISE, ID 83702-9030
(208) 505-1179
Mailing address
PO BOX 6795, BOISE, ID 83707-0795
(208) 505-1179
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
10/24/2018
Last updated
07/29/2023
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