Individual
DIANN HURD BRIDENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 872-7100
(513) 872-7385
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35062156
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35062156
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0985626
—
OH
05
—
2000098940B
—
IN
05
—
64935950
—
KY
Enumeration date
06/03/2006
Last updated
07/21/2022
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