Individual
EUGENE BRADFORD BALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 TORRANCE BLVD, EM DEPT, TORRANCE, CA 90503-4607
(310) 540-7676
(405) 751-3183
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 751-3183
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G61732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G617320
—
CA
Enumeration date
06/10/2006
Last updated
09/19/2012
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