Individual
TIFFANY MICHELLE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
D73339
MD
207RP1001X
Pulmonary Disease Physician
Primary
MD60351780
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215412900
—
MD
Enumeration date
07/19/2007
Last updated
09/19/2016
Update your record
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