Individual
DR. CLIFTON LEE BRIDGES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
PO BOX 5468, MARTINSVILLE, VA 24115-5468
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
0101102390
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101102390
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194724856
—
VA
01
—
P01193165
RAILROAD MEDICARE
—
Enumeration date
07/15/2005
Last updated
12/29/2016
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